腰硬联合麻醉后不同时点摆改良折刀位对患者血流动力学的影响  

Different time-point with modified jackknife position put influence on the patients' hemodynamics after combined spinal-epidural anesthesia

作　　者：陈明富[1] 付群[2] 郭超[1] 刘鹏[1] 

机构地区：[1]广州医科大学附属深圳沙井医院麻醉科,广东深圳518104 [2]江苏省中西医结合医院麻醉科,江苏南京210028

出　　处：《中国医学工程》2015年第9期26-26,28,共2页China Medical Engineering

摘　　要：目的探讨腰硬联合麻醉后不同时点摆改良折刀位对患者血流动力学的影响,为临床提供参考意见。方法选取60例腰硬联合麻醉后摆改良折刀位行直肠黏膜环切术患者,随机分为三组,每组20例。麻醉前所有患者桡动脉穿刺置管测压及连续监测心输出量,开放静脉通路补液,麻醉后即刻(A组)、10 min(B组)、20 min(C组)摆改良折刀位,分别记录麻醉前(T0)、麻醉后即刻(T1)、麻醉后10 min(T2)、麻醉后20 min(T3)及麻醉后30 min(T4)各时点的MAP及CO。结果三组麻醉后同时点BP、CO组间比较差别无统计学意义(P>0.05)。结论采用布比卡因10 mg腰麻后直接摆改良折刀位与平卧10min或20 min后再摆改良折刀位对血流动力学影响无明显差异,临床上可以安全使用。[ Objective ] To discuss different time-point with modified jackknife position put influence on the patient＇s hemodynamics after combined spinal-epidural anesthesia（CSEA）. To provide reference for clinical application. [ Methods ] 60 patients which doing PPH with modified jackknife position after CSEA, Randomly divided into three groups, each group of 20 （n=20）. Carry on the rehydration, monitor ABP and CO with radial artery before CSEA, Immediately （group A）, 10 minutes （group B）, 20 minutes （group C） after anesthesia put modified jackknife position respectively, record the MAP and CO before anesthesia（T0）, immediately（T1）, 10 minutes （T2）, 20 minutes（T3）, 30 minutes （T4） after anesthesia respectively. [ Results ] The BP, CO is no statistically significant difference in three groups at the same time after CSEA （P〉0.05）. [ Conclusion ] There are no significant influence on the patient＇s hemodynamics with the modified jackknife position between immediately and the recumbent position for 10 or 20 minutes after CSEA with Bupivacaine 10 mg,So it Can be safely used in clinical.

关 键 词：腰硬联合麻醉 改良折刀位 血流动力学 

分 类 号：R782.054[医药卫生—口腔医学]