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Acta Medica Iranica، جلد ۵۷، شماره ۷، صفحات ۴۲۴-۴۲۹
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عنوان انگلیسی Effect of anesthesia techniques on pain severity, hemodynamic changes and patients satisfaction in elective cesarean section
چکیده انگلیسی مقاله Introduction: Severity of postoperative pain and hemodynamic changes during and post cesarean section have a direct effect on the neonatal and maternal condition. This study aimed to compare pain severity, hemodynamic changes and patient satisfaction following two anesthesia techniques in elective cesarean section.   Methods: In this blinded study, 60 women who were candidate for cesarean section were allocated into two equal groups of general anesthesia (GA) and spinal anesthesia (SA). Systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR) and O2Sat at pre cesarean (T0), the uterine incision time (T1), end of surgery (T2), 6h (T3), 12h (T4) and 24 hours post cesarean (T5) were measured. A Visual Analog Scale assessed post cesarean pain, 6, 12 and 24 hours post cesarean. Gender, birth weight, first- and fifth- minutes Apgar score was recorded in the checklists.   Findings: The VAS score was significantly higher in the GA group at 6h, 12h and 24 hours, post cesarean (p=0.014, p=0.002, p=0.017 respectively). SBP and DBP at T1 in the GA group was significantly higher than in the S.A group (p< 0.001). The heart rate at T0 and T1 in the GA group was lower than the SA group (p=0.001, p=0.045 respectively). The difference between the APGAR scores of the two groups was not significant.   Conclusion: SA for cesarean section is associated with lower post-operative pain, systolic and diastolic blood pressure. However, the two groups had not significant difference in term of patient satisfaction and Apgar scores.
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نویسندگان مقاله | Maryam Hadavi


| abdollah Jafaezadeh
Molecular Medicine Research Center, Research Institute of Basic Medical Sciences, Faculty of Medicine, Rafsanjan University of Medical Sciences. Dept. of Immunology, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran


| Gholamhossein Hassanshahi
Molecular Medicine Research Center, Research Institute of Basic Medical Sciences, Faculty of Medicine, Rafsanjan University of Medical Sciences. Dept. of Immunology, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran


| Mohsen Rezaeian
Dept. of Epidemiology and Biostatistics, Occupational Environmental Research Center, Medical School, Rafsanjan University of Medical Sciences, Rafsanjan, Iran


| Reza Vazirinejad
Dept. of Social Medicine, Social Determinants of Health Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran


| Fariba Aminzadeh
Dept. of Gynecology and Obstetrics, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran


| Ali Sarkoohi
Dept. of Anesthesiology, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
نشانی اینترنتی http://acta.tums.ac.ir/index.php/acta/article/view/7869
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/56/article-56-2247459.pdf
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