不同补液方案对腰麻下剖宫产术母婴的影响  

Effects of different fluid therapy on maternal and neonate for cesarean sections under spinal anesthesia

作　　者：胡明品[1] 张乐[1] 卢园园[1] 张冰[1] 

机构地区：[1]温州医科大学附属第二医院麻醉科,浙江温州325027

出　　处：《中国现代医生》2014年第24期86-89,共4页China Modern Doctor

基　　金：浙江省温州市科技计划项目(H20110022)

摘　　要：目的：观察不同补液方案对腰麻下剖宫产术母婴的影响。方法选择择期行剖宫产术产妇150例,ASAⅠ~Ⅱ级,随机分为A、B、C组,分别在预输注乳酸林格氏液5 mL/kg后即刻输注5、15和25 mL/kg。观察并记录各时点的MAP、HR及CVP,术毕母体Lac、Hct等,采集脐带动静脉血行血气分析。结果 B、C组产妇术中血流动力学及Lac、Hct较A组稳定（P〈0.01）,且B组产妇CVP较C组稳定（P〈0.01）,B组脐动、静脉血的pH、PO2值均明显高于A、C组（P〈0.05）。结论预输注后即刻输注乳酸林格氏液15 mL/kg用于腰麻下剖宫产手术,对母亲和胎儿影响较小。Objective To observe the effects of different fluid therapy on maternal and neonate for undergoing elective cesarean sections under spinal anesthesia. Methods A total of 150 ASA Ⅰ or II parturients were randomly divided into A,B,C groups. Each group was respectively immediately infused 5, 15 and 25 mL/kg after the infusion of Lactated Ringer＇s Solution 5 mL/kg, MAP, HR and CVP were recorded at any time point. Hct and Lactate were monitored of maternal at the end of operation. Arterial and vein blood samples were taken from umbilical cord for blood-gas analy-sis. Results Hemodynamic and Lac, Hct were significantly stable in group B and group C than those in group A during operation（P〈0.01）, the CVP levels were significant stable in groups B than those in group C（P〈0.01）. And the umbilical arterial, venous pH and PO2 in group B were significantly higher than those in group A and group C（P〈0.05）. Conclu-sion After transfusion of Lactate Ringer＇s Solution immediately infused 15 mL/kg immediately for cesarean sections un-der spinal anesthesia, has less influence on maternal and infant.

关 键 词：液体治疗 腰麻 剖宫产术 脐带血血气分析 

分 类 号：R614[医药卫生—麻醉学]