体位对择期剖宫产产妇循环和新生儿的影响  

Effects of positions on circulation and neonatal during Caesarean section under epidural anaesthesia

作　　者：宋喜林[1] 盛忠贤[1] 朱俊峰[1] 

机构地区：[1]上海交通大学附属第六人民医院金山分院麻醉科,上海市201500

出　　处：《临床麻醉学杂志》2010年第1期33-35,共3页Journal of Clinical Anesthesiology

摘　　要：目的观察体位对产妇血流动力学及新生儿Apgar评分的影响。方法硬膜外麻醉下行择期剖宮产的产妇80例均分为四组,分别采用平卧位(S组)、左侧倾斜30°位(L组)、左侧倾斜15°同时头低15°位(LT组)、仰卧同时头低15°位(ST组)。记录各组麻醉前、麻醉后5、10、15 min、胎儿娩出即刻患者的MAP、HR、SpO2及新生儿1-、5-min的Apgar评分。结果麻醉后10 min,S、LT、ST三组MAP与麻醉前比较明显降低(P<0.05),也明显低于L组(P<0.05);新生儿出生后1-、5-min的Apgar评分组间差异无统计学意义。结论左侧倾斜30°位可有效降低剖宮产术中低血压的发生率。Objective To assess the effects of positions on circulation and neonatal during Caesarean section under epidural anaesthesia.Methods Eighty healthy parturients undergoing selective Caesarean section were randomly allocated in four groups with 20 cases each,who were positioned in supine（group S）,left oblique 30 degress（group L）,left oblique 15 degrees with 15 degrees Trendelenburg（group LT）,or supine with 15 degrees Trendelenburg（group ST） position.MAP,HR,SpO2 were recorded before and at 5 min,10 min,15 min during anesthesia.Apgar scores of 1-and 5-min were observed as well.Results MAP in groups of S,LT and ST was significantly lower at 10 min during anesthesia than that before or group L（P〈0.05） There was no significant difference in l-and 5-min Apgar scores among four groups.Conclusion The left oblique 30 degrees position could effectively reduce the incidence of hypotension during Caesarean section under epidural anaesthesia.

关 键 词：体位 硬膜外麻醉 剖宫产术 血流动力学 

分 类 号：R614[医药卫生—麻醉学]