硬膜外麻醉剖宫产术中葡萄糖输入量探讨  

Intraoperative Use of Glucose Solutions in Cesarean Sections under Epidural Analgesia

作　　者：于素桂[1] 徐风和[1] 孙运波[1] 闵国英 

机构地区：[1]青岛医学院附属医院麻醉科,266003

出　　处：《临床麻醉学杂志》1993年第4期178-179,共2页Journal of Clinical Anesthesiology

摘　　要：本文观察硬膜外麻醉剖宫产术中输注不等量葡萄糖,以产妇血糖变化探讨其输糖量。45例健康产妇随机分为三组,术中全部输注自制含糖1.421％的平衡液(平组,n=15);先输注10％葡萄糖500ml,后均以平衡液维持(糖平组,n=16);全部输注10％葡萄糖(糖组,n=14)。于输液前(基础值)、手术前(麻醉后)、取出胎儿时及术毕经非输液通道采静脉血测血糖4次,以基础值作对照。结果表明,硬膜外麻醉剖宫产术中,输注不等量葡萄糖,随着糖量增加,母体血糖值随之增加。持续输注含糖量少、电解质接近细胞外液成分的平衡液,术中母体血糖值与术前无显著差异,是硬膜外麻醉剖宫产术中较合适的输液种类。The change of blood glucose levels were studied in 45 cases of cesarean section infusing glucose Ringer’s lac-tate solutions. 45 patients were randomly divided into 3 groups. The results showed that in group 3 and group 2,infused with higher doses of glucose in addition, the blood glucose levels were significantly higher than the basic value. While group 1, infused with 1. 421％ glucose Ringer′s lactate solution, the blood glucose levels remained unchanged throughout the operation. It indicated that Ringer’s lactate solution with lower concentration of glucose was more suitable for obstetrical patients undergoing cesarean section.

关 键 词：剖腹产 麻醉 葡萄糖 

分 类 号：R719.8[医药卫生—妇产科学]