Skovbon H, Toft P, Thiessen B W
Anaestesiölogisk/intensiv afdeling, Randers Centralsygehus.
Ugeskr Laeger. 1993 Sep 6;155(36):2811-4.
A retrospective review was undertaken of 61 consecutive cases of combined spinal and epidural block for caesarean section during the period from 27.3.1988 to 13.12.1991. It was found that combined spinal and epidural block was sufficient in 90% of the cases. In 10% it was necessary to give intravenous analgetic supplementation. A high frequency of intermittent hypotension (75%) was found and 15% developed postdural puncture headache. It is concluded that combined spinal and epidural anaesthesia for caesarean section combine the advances of spinal and epidural anaesthesia. However, smaller or Sprotte spinal needles must be used and more vigorous efforts made to avoid hypotension.
对1988年3月27日至1991年12月13日期间连续61例行剖宫产术的腰麻-硬膜外联合阻滞病例进行了回顾性研究。结果发现，90%的病例腰麻-硬膜外联合阻滞效果良好。10%的病例需要静脉补充镇痛药。发现间歇性低血压的发生率较高（75%），15%的患者发生了腰穿后头痛。结论是，剖宫产术的腰麻-硬膜外联合麻醉结合了腰麻和硬膜外麻醉的优点。然而，必须使用较小型号或Sprotte腰麻针，并更加积极地努力避免低血压。
