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目的:分析产妇在腰硬联合麻醉(CSEA)后,采取预先注射血管活性药物与胶体液预扩容等处理对其血流动力学的影响。方法:63例在CSEA基础上采取剖宫产产妇分为3组,分别是胶体液联合麻黄碱组(Ⅰ组)、胶体联合去氧肾上腺素组(Ⅱ组)、胶体组(Ⅲ组),术后对比3组药物对产妇的影响。结果:Ⅰ组、Ⅱ组低血压发生率明显比Ⅲ组低(P<0.05),3组新生儿Apgar评分差异无统计学意义(P>0.05)。结论:产妇在采取腰硬联合麻醉后,采取预先注射血管活性药物与胶体液预扩容等处理,可有效预防低血压的发生。
Abstract：Objective:To explore effect of colloid preload combined with preinfusion of vasoactive on hemodynamic of parturient after combined spinal epidural anesthesia(CSEA).Methods:A total of 63 patients with cesarean section on the basis of CSEA were divided into 3groups:colloid colloid combined with ephedrine group(groupⅠ),colloid colloid with phenylephrine group(Group II),and colloid group(Group III).The effect of drugs were compared.Results:The incidence rate of hypotension inⅠandⅡgroup was significantly lower than that of groupⅢ(P <0.05).There was no significant difference in Apgar score among 3groups.Conclusion:Colloid preload combined with preinfusion of vasoactive can effectively prevent the occurrence of hypotension for parturient after CSEA.
1 黄绍强.预防剖宫产脊麻后低血压的研究进展[J].临床麻醉学杂志,2009,25(1):88-90.
2 黄光梅.不同液体预扩容防止腰-硬联合麻醉后低血压[J].临床医学,2011,31(01):29-30.
3 王猛,韩传宝,钱燕宁.麻黄碱与去氧肾上腺素对腰麻剖宫产产妇及新生儿的影响[J].临床麻醉学杂志,2010,26(8):664-666.
4 郑小林.去氧肾上腺素防治剖宫产腰麻后低血压的效果观察[J].中国医药导报,2010,7(19):88-89.
5 张东发.不同液体对腰硬联合麻醉下剖宫产产妇血压的影响[J].中国实用医药,2009,4(5):101-102.
6 周旭明,周鹏,李润树.预扩容防止剖宫产手术腰硬联合麻醉后低血压的临床观察[J].吉林医学,2009,30(9):850.
7 谢雷,阚炯,方向东.羟乙基淀粉预扩容用于硬膜外麻醉剖宫产术的临床观察[J].安徽医学,2011,32(3):288-290.
8 郑达明.去氧肾上腺素联合预负荷液预防腰硬联合麻醉后剖宫产母婴影响[J].中国医疗前沿,2011,6(13):28-29.
9 尹建平.去氧肾上腺素联合羟乙基淀粉预防腰硬联合麻醉中低血压的观察[J].中国实用医药,2009,4(1):128-129.
10 骆智宇,莫惠飞,李斌.去氧肾上腺素、麻黄素对腰硬联合麻醉下剖宫产母婴的影响[J].现代医院,2010,10(1):61-64.
基本信息:
DOI：10.13210/j.cnki.jhmu.20140616.009
中图分类号:R614
引用信息:
[1]谭道臣.胶体液预扩容联合预注血管活性药对产妇腰硬联合麻醉后血流动力学的影响[J].海南医学院学报,2014,20(10):1409-1410+1413.DOI:10.13210/j.cnki.jhmu.20140616.009.
基金信息:
广西壮族自治区卫生厅科研立项(Z2010324)~~
2014-06-16
2014-06-16
2014-06-16