剖宫产麻醉前预输高渗氯化钠羟乙基淀粉40注射液的护理  

Nursing of intravenous infusion of hypertonic sodium chloride hydroxyethyl starch 40 injection in cesarean section before anesthesia

作　　者：陈楚如[1] 黄慧雅[1] 余小丽[1] 陈淑芳[1] 

机构地区：[1]中山大学附属第五医院手术室,广东珠海519000

出　　处：《中国医药科学》2013年第2期122-123,共2页China Medicine And Pharmacy

摘　　要：目的观察剖宫产手术腰硬联合麻醉,麻醉前应用高渗氯化钠羟乙基淀粉40注射液预扩容来预防蛛网膜下腔阻滞所引起的低血压,观察其扩容效果并总结护理措施。方法将80例剖宫产产妇为研究对象,于实施腰硬联合麻醉,麻醉前输入高渗氯化钠羟乙基淀粉40注射液250mL,或者乳酸钠林格氏液500mL,记录两组产妇不同时间点收缩压,记录输液总量、术中尿量、出血量。结果观察组在麻醉后无明显血压下降,而对照组麻醉后最低血压与术前相比血压下降,差异有统计学意义(P<0.05)。术中输液总量观察组少于对照组,差异有统计学意义(P<0.05)。两组出血量、尿量相比差异无统计学意义(P>0.05)。结论采用预输高渗氯化钠羟乙基淀粉40注射液能有效预防剖宫产手术时发生的低血压,维持血流动力学稳定,提高围术期的安全性。Objective To observe the pre-expansion in prevention of low blood pressure caused by subarachnoid block prior to spinal and epidural anesthesia for cesarean section, and observe its expansion effect and summary of nursing care measures. Methods 80 cases of cesarean section as the research object were infused with hypertonic sodium chloride hydroxvethyl starch 40 injection 250 mL, or lactated ringer＇s solution 500 mL, pri^r to spinal andepidural anesthesia. Two groups of maternal＇s different time points systolic blood pressure, infusion total, intraoperative urine output, bleeding amount were recorded. Results The observation group had no significant drop in blood pressure after anesthesia, but the control group had significant difference （P ~ 0.05） compared with the preoperative anesthesia hypotension drop in blood pressure. The observation group＇ intraoperative infusion total was less than the controlled group （P 〈 0.05）.Two groups＇ bleeding amount and urine output had no significant difference comparatively. Conclusion Pre-infusion of hypertonic sodium chloride hydroxvethyl starch 40 injection can effectively prevent hypotension occurring in cesarean section, maintain hemodynamic stability and improve preoperative safety.

关 键 词：高渗氯化钠羟乙基淀粉40注射液 剖宫产 麻醉 血压 护理 

分 类 号：R614[医药卫生—麻醉学]