摘要
目的探讨坐位腰硬联合麻醉对剖宫产产妇血流动力学的影响。方法选取2008年1月～2012年9月于本院进行卧位下腰硬联合麻醉的39例剖宫产产妇为对照组,同期采用坐位下腰硬联合麻醉的39例产妇为观察组,后将两组产妇的麻黄碱用量、一次穿刺成功率、不良反应发生率及麻醉前、麻醉后5min、15min的SBP、DBP、HR、CVP水平进行比较。结果观察组的麻黄碱用量小于对照组,一次穿刺成功率高于对照组,不良反应发生率低于对照组,麻醉后5min及15min的SBP、DBP及CVP均高于对照组,HR低于对照组,P均<0.05,差异有统计学意义。结论坐位腰硬联合麻醉对剖宫产产妇血流动力学的影响小于卧位下麻醉的患者,因此可有效降低相关影响指标。
Objective To investigate the influence of combined spinal and epidural anesthesia in sitting position for the hemodynamics of parturient with cesarean section.Methods Thirty-nine parturient women with combined spinal and epidural anesthesia in lying position who were treated with cesarean section in lying position in our hospital from January 2008 to September 2012 were selected as control group,and 39 cases with combined spinal and epidural anesthesia in sitting position were selected as observation group,then the amount of ephedrine,one-time success rate of puncture,incidence of adverse reactions,SBP,DBP,HR and CVP before and after the anesthesia at 5 min and 15 min of two groups were compared.Results The amount of ephedrine in observation group was less than that of control group,one-time success rate of puncture was higher than that of control group,incidence of adverse reactions was lower than that of control group,SBP,DBP and CVP after the anesthesia at 5 min and 15 min were higher than those of control group,HR were lower than those of control group,all P 〈0.05,there were all significant differences.Conclusion The influence of combined spinal and epidural anesthesia in sitting position for the hemodynamics of parturient with cesarean section is smaller than that of anesthesia in lying position,so it can effectively decrease related influence factors.
出处
《中国当代医药》
2012年第36期77-78,共2页
China Modern Medicine
关键词
坐位
卧位
腰硬联合麻醉
剖宫产
血流动力学
影响
Sitting position
Lying positions
Combined spinal and epidural anesthesia
Cesarean section
Hemodynamics
Influence
