不同液体扩容对腰硬联合麻醉下剖宫产患者血流动力学的影响.docVIP

不同液体扩容对腰硬联合麻醉下剖宫产患者血流动力学的影响 　　[摘要] 目的 探?胶体液与晶体液预扩容对腰硬联合麻醉下剖宫产患者血流动力学的影响。方法 便利选取于该院2015年10月―2016年5月择期行剖宫产足月妊娠孕妇120例，ASAI-II级，随机平均分为3组。入室后常规记录基础循环参数。麻醉前A组给予羟乙基淀粉130/0.4氯化钠注射液；B组钠钾钙镁葡萄糖注射液；C组乳酸钠林格液各500 mL扩容，然后行腰硬联合麻醉。观察3组产妇麻醉前、后；胎儿出生后；手术结束即时生命体征的变化及不良反应发生率。 结果手术均顺利完成，A组围术期血压T2（121.0±13.9） mmHg、T5（118.0±12.7） mmHg变化的幅度小于B组T2（122.0±12.5） mmHg、T5（110.0±11.4）mmHg、C组T2（120.0±14.7） mmHg、T5（109.0±12.2） mmHg（P 　　[关键词] 胶体液；预扩容；剖宫产；血流动力学；腰硬联合麻醉 　　[中图分类号] R614 [文献标识码] A [文章编号] 1674-0742（2017）01（c）-0045-03 　　Effect of Different Fluid Expansion on the Hemodynamics of Patients with Uterine-incision Delivery under the Combined Spinal and Epidural Anesthesia 　　CHEN Dong， PENG Cheng， WU Jing-ji 　　Department of Anesthesiology， Dongfeng People’s Hospital of Zhongshan， Zhongshan， Guangdong Province， 528425 China 　　[Abstract] Objective To observe the effect of Different Fluid Expansion on the hemodynamics of patients with uterine-incision delivery under the combined spinal and epidural anesthesia. Methods 120 cases of full-term pregnant delivery women with convenient selective uterine-incision delivery from October 2015 to May 2016 were selected and divided into three groups， the basic loop parameter were routinely recorded after admission， and before the anaesthesia， the group A were given the hydroxyethyl starch130/0.4 sodium chloride injection， while the group B were given the potassium magnesium calcium and glucose injection， and the group C were given the lactated ringer’s solution 500 mL expansion， and then the combined spinal and epidural anesthesia wad conducted， and the changes of vital signs and incidence rate of adverse reactions of the three groups before and after anesthesia， after the birth of fetuses， and at the end of operation. Results After the successful completion of operation， the blood hypertension T2 and T5 change ranges during the perioperative period and in the group A were less than those in the group B and in the group C， [（121.0±13.9）mmHg， （118.0±12.7）mmH