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目的：探讨小剂量布比卡因腰麻复合硬膜外麻醉应用于重度妊娠期高血压疾病产妇剖宫产手术的安全性及其效果。方法选择80例重度妊娠期高血压产妇，随机分为两组，E组（硬膜外组），C组（腰硬联合组）。观察两组麻醉诱导时间、心率、平均动脉压等血流动力学变化，麻醉效果，新生儿1min和5min Apgar评分等情况。结果 C组麻醉诱导时间明显短于E组，效果也明显优于E组，有统计学意义（0.5）；两组血流动力学无明显区别，无统计学意义（>0.5）。结论小剂量布比卡因腰硬联合麻醉起效快，效果好，对新生儿无明显影响，且对血流动力学的影响与硬膜外无明显区别，可安全应用于妊娠期高血压疾病产妇。“,”Objective To explore using low-dose intrathecal bupivacaine combined epidural anesthesia applied in severe gestational hypertension disease maternal ef ect and safety of cesarean delivery operation. Methods Select 80 cases of severe maternal gestational hypertension, randomly divided into two groups, group E (epidural group), group C (combined spinal-epidural anesthesia group). Observe two groups of anesthesia induction time, heart rate, mean arterial pressure, such as hemodynamic changes, anesthetic ef ect, neonatal Apgar scores 1 minute and 5 minute, and so on and so forth. Results Group C anesthesia induction time is significantly shorter than that of group E , ef ect is also obviously bet er than that of group E, there are statistical y significant ( 0.5);No significant dif erence between two groups of hemodynamics, no statistical significance (> 0.5).Conclusion Not only the anesthesia induction time of CSEA using low-dose intrathecal bupivacaine is faster than that of CEA ,but also the ef ect is bet er, has no obvious influence on the neonate, and the influence of hemodynamic has no obvious dif erence with CEA.It is safe and ef ective using low-dose intrathecal bupivacaine combined epidural anesthesia applied in cesarean section patients with severe gestational hypertension disease maternal .