腰硬联合麻醉前输液对麻醉后血压影响.docVIP

腰硬联合麻醉前输液对麻醉后血压影响 　 作者：陈美珍　李宇翔　陈群欢 【关键词】 麻醉 　　摘要：目的：观察腰硬联合麻醉前输液对麻醉后血压的影响。方法：选择80例腰硬联合麻醉下行择期阴式子宫系列手术的患者，随机等分成两组，实验组于麻醉前30min内静脉输入乳酸林格氏液500m1，麻醉后以3～4m1／(kg.h)继续输入乳酸林格氏液；对照组于静脉以3～4m1／(kg.h)继续输入乳酸林格氏液并立即实施麻醉。观察两组病人麻醉后血压下降情况。结果：实验组病人麻醉后血压下降的发生率为12.5％，对照组病人麻醉后血压下降发生率为45％。实验组血压下降发生率明显低于对照组，plt;0.005。结论：腰硬联合麻醉前输入一定量的液体可有效地预防麻醉后血压下降。 　　关键词：腰硬联合麻醉；输液；血压 　　Effect of Transfusion Before Lumbar Anesthesia Associating with Epidural Block Anesthesia on Blood Pressure After Anesthesia　　 　　Abstract： Objective： To obseve the effect of transfusion before lumbar anesthesia associating with epidural block anesthesia on blood pressure after anesthesia.Method： 80 women underwent series vaginal surgeries on uteri were selected and divided into two groups by random. The women in experiment group were dripped Ringer’s lactated injection in vein 30 minutes before anaesthesia and contnued to dripped the solution by speed of 3～4ml/(kg.h) after anesthesia. The control group was continuous dripped Ringers lactated injection by speed of 3～4ml/(kg.h) and promptly carried out anesthesia. The conditions of blood pressure after anaesthesia of the two groups were observed. Result： The rate of blood pressure falling after anesthesia was 12.5% in the experiment group while 45% in the control group. There was significant difference between the two groups(plt;0.005). Conclusion： Its effective to prevent blood presure falling after anesthesia by dripping some solusion before lumbar anesthesia associating with epidural block anesthesia. 　　Key words：Lumbar anesthesia associating with epidural block anesthesia;Transfusion;Blood pressure 　　低血压是腰硬联合麻醉的常见并发症之一，可同时伴发恶心呕吐、心慌等症状，对患者的手术安全有一定的威胁，且影响手术的顺利进行。本文旨在观察麻醉前30 min静脉输入乳酸林格氏液500m1对腰硬联合麻醉后血压的影响。 　　1　资料与方法 　　1.1　临床资料：本组病人共80例，行择期阴式子宫系列手术。年龄30～50岁；体重44～65 kg；身高150～165cm。术前均肌注鲁米那钠0.1和阿托品0.5mg，所有病人于麻醉前10 h监测NIBP(无创血压)、心电图(ECG)和脉搏血氧饱和度(SPO2)。手术时间为30～120min。麻醉方法为腰硬联合麻醉，局麻醉药为0.75％布比卡因比重液，麻醉药总量为9.75～11.25 mg，麻醉平面均控制在第10胸椎以下。手术期间输液均为乳酸林格氏液。 　　1.2 研究方法：将病人随机分成两组。术前有明显脱水症