缩宫素三种用药方法对剖宫产患者血液动力学影响.pdfVIP

·临床探讨· 缩宫素的三种用药方法对剖宫产患者血液动力学的 影响 汪 涛 贵州省安顺市妇幼保健院麻醉科。贵州安顺561000 【摘要】目的研究对比剖宫产患者采用静脉推注、静脉缓慢滴注和子宫底肌注缩宫素=三种不同的方法对血液动力学 的影响。方法选择120例连续硬膜外麻醉下剖宫产的患者随机分成A、B、C三组。待胎儿娩出后立即A组静脉推 注缩宫素20U；B组静脉缓慢滴注乳酸林格式液500mL加缩宫素20U：C组子宫底肌注缩宫素20U。观察i组患 者用药后的MAP、HR变化。结果A组患者的循环功能明显具变化。B组患者的循环功能稍有变化但没有A组明 中静脉应用缩宫素对患者的循环功能短时间会产生影响。而静脉推注对循环功能影响更明显。 f关键词】硬膜外麻醉；剖宫产术；缩宫素；血液动力学 【中图分类号】R713．4 【文献标识码】B 【文章编号11673—9701(2012)05—0150—02 [niluenceofthree of on incesareansec- medicatiOIIS oxytocinhemodynamics tion WANGTao of MaternalandChildCareServiceinGuizhou DepartmentAnesthesiology，AnshunCity Province，Anshun561000,China [Abstractl To theinfluenceofintravenousbolus intmvenousinfusionandintramuscular Objectivestudy injection，slow of Allof inthefundusuterionthe of Cq日$areallsection．Methods120 injectionoxytocin hemedynamicspatientsreceiving into Band receivedcesareansectionundercontinuousanesthesiawere divided A，group patients epidural randomly group was boIus of20Uof afterthe of A theintravenous oxytocin， groupC．Immediatelydeliverybaby，groupgiven injection Bwas of500mLoflactated solutionand20Uof C theslowintravenousinfusion group given ringers oxytocin．andgroup theintramuscular Uof inthefundusuteri．TheMAPandHR ofthethree Was of20 oxytocin