不同体位行腰硬联合麻醉穿刺对剖宫产术仰卧位综合征发生的影响  

The Impact of Different Position Combined Spinal and Epidural Anesthesia Puncture in Cesarean Section Supine Syndrome

作　　者：孙骏[1] 金宇鸿 

机构地区：[1]苏州永鼎医院,江苏苏州215200

出　　处：《中外医学研究》2015年第24期25-27,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的：探讨不同体位行腰硬联合麻醉穿刺对剖宫产术仰卧位综合征发生的影响。方法：随机抽取ASAⅠ~Ⅱ级120例剖宫产手术患者的临床资料进行分析，将其分为A组（采取左侧卧位）和B组（采取右侧卧位）各60例，观察两组患者剖宫产麻醉后发生仰卧位综合征的影响分析。结果：A组低血压以及心率加快构成比明显优于B组，两组比较差异有统计学意义（P〈0.05）；A组血压麻醉后与B组血压麻醉后比较差异无统计学意义（P〉0.05）；A组心率麻醉后与B组心率麻醉后比较差异有统计学意义（P〈0.05）。结论：左侧卧位腰硬联合麻醉行剖宫产手术，具有起效快、阻滞完善、用药少、肌肉松弛好等优点，不仅降低仰卧位综合征的发生率，还保障术中患者血流动力学的稳定度，值得临床长期推广应用。Objective：To study the impact of different position combined spinal and epidural aneshesia in cesarean section supine syndrome.Method：120 patients with combined spinal and epidural anesthesia（ASA levelⅠ-Ⅱ） were randomly devided into two groups（A and B） to study,60 cases in each group. Group A take the left lateral position,and group B take the right lateral position.The effects of two groups patients suffered supine syndrome after cesarean anesthesia were observed and analyzed.Result：The constituent ratio of low blood pressure and heart rate in group Awere obviously better than that of group B,the difference was statistically significan（P〈0.05）;blood pressure after anesthesia in group A was （99.8±12.9）mm Hg,and those in group B was （100.2±22.5）mm Hg,the differences compared between the two groups,there were no statistically significant（P〉0.05）;heart rate after anesthesia in group A was （90.4±11.5）bpm and those in group B was （119.3±20.4）bpm,the differences compared between the two group,there was statistically significant（P〈0.05）.Conclusion：The left lateral position combined spinal epidural anesthesia with cesarean section surgery has many advantages,such as quick effect,block to perfect,medication less, good muscle relaxation,and so on.It reduce not only the Incidence rate of supine syndrome,but also guarantee the stability of the patients with intraoperative hemodynamic,so it is worth to use in clinical application for a long time.

关 键 词：剖宫产 穿刺体位 腰硬联合麻醉 仰卧位综合征 

分 类 号：R614[医药卫生—麻醉学]