佳乐施预扩容对腰硬联合麻醉下剖宫产患者血流动力学的影响  

Effects of Hemodynamics on Pre-enlarging Volume with Gelofusine in Patients Undergoing Cesarean Section with CSEA

作　　者：王尚[1] 马友田 

机构地区：[1]山东省潍坊市人民医院麻醉科,261041 [2]山东省寿光市人民医院麻醉科

出　　处：《实用心脑肺血管病杂志》2009年第1期1-2,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的观察佳乐施预扩容对腰硬联合麻醉后剖宫产患者血流动力学的影响。方法选择我院40例行择期剖宫产手术的患者,随机分为佳乐施(G组)和林格液(R组)两组,麻醉前30min分别输入佳乐施和林格液500ml预扩容,记录麻醉前和麻醉后收缩压(SBP)、舒张压(DBP)、心率(HR)及新生儿Apgars评分。结果R组患者麻醉后SBP、DBP较麻醉前下降,G组麻醉后SBP、DBP较麻醉前差异无统计学意义(P>0.05),两组患者的心率在麻醉前后比较无差异(P>0.05)。两组患者Apgar评分差异无统计学意义(P>0.05)。结论预充佳乐施500ml能稳定腰硬联合麻醉下剖宫产的血流动力学,对患者和新生儿无明显不良反应。Objective To observe the influence of preventingmiuimum pressure in the patients undergoing caesarean section with combined spinal and epidural anesthesia （CSEA） through enlarged volume with gelofusine. Methods Fourty puerperants （ASA Ⅰ - Ⅱ, age 24 -34 year） scheduled for elective cesarean section were divided into two groups： G group received 500 ml gelofusine in half an hour before anesthetized and R group received 500 ml Ringers. Systolic blood pressure （SBP）, Diastolic blood pressure （DBP）, Heart rate （HR） and Apgar score were recorded before and after anesthetized. Results The patients＇ systolic blood pressure （SBP） and diastolic blood pressure （DBP） in R group were descent after anesthetized and in G group were not. There was no significant different in HR between before and after anesthetized in both groups, and in Apgar score between the two groups. Conclusion Pre - enlarging volume with 500 ml gelofusine may descend the ratio of minimum pressure in the patients undergoing cesarean section with CSEA, and there was free from side effects.

关 键 词：佳乐施 腰硬联合麻醉 剖宫产 血流动力学 

分 类 号：R719.8[医药卫生—妇产科学]