Comprehensive measures to prevent hypotension during cesarean section clinical observation.docVIP

 PAGE \* MERGEFORMAT 10 Comprehensive measures to prevent hypotension during cesarean section clinical observation [Abstract] In order to find an effective and reasonable control of hypotension during anesthesia for cesarean delivery method, select cases of emergency cesarean section 90 patients, ASA I-II, were randomly divided into three groups, each group 30 patients All cases were spinal anesthesia combined with epidural anesthesia. I set before anesthesia pre-infusion of compound sodium chloride injection 500mL, prophylactic intravenous anesthesia ephedrine 5mg; II infusion group before anesthesia, pre-chlorinated compound sodium injection 500mL, anesthesia take 15 ~ 20 left tilt position; III group before anesthesia, pre-infusion of 6% hydroxyethyl starch injection 500mL, anesthesia, intravenous prophylactic injection of ephedrine 5mg and take the left tilt 15 ~ 20 position. Results (1) I, II, III group the incidence of hypotension was 70.0%, 63.3%, 26.6%; III group the incidence of hypotension was significantly lower than I, II group (P lt;0.05) , and no severe hypotension occurred in 1 case; I, II cases of severe hypotension group of up to 13.3%. (2) III Apgar score was significantly higher than that of group I, II group, statistically significant difference (P lt;0.05). anesthetic infusion in advance of 6% hydroxyethyl starch injection 500mL, anesthesia, preventive 5mg intravenous injection of ephedrine and take 15 ~ 20 left tilt position as an integrated measure can be effectively prevent hypotension during anesthesia for cesarean delivery. [Keywords:] comprehensive measures; cesarean section; hypotension With the increased maternal cesarean section surgery, how to ensure that mother and child during the perioperative anesthesia safety is every anesthesiologist must face. Hypotension during cesarean section is the most common security threats to maternal and child factors A number of factors could cause varying degrees of hypotension, study