剖宫产腰硬联合麻醉后采用多巴胺维持血压的效果观察  

Observation on effect of dopamine in maintaining blood pressure after combined spinal and epidural anesthesia in cesarean section

作　　者：孙文娟 SUN Wen-juan(Guangzhou Huangpu District Kowloon Town Center Health Center, Guangzhou 510555, China)

机构地区：[1]广州市黄埔区九龙镇中心卫生院,510555

出　　处：《中国现代药物应用》2017年第15期89-90,共2页Chinese Journal of Modern Drug Application

摘　　要：目的分析剖宫产腰硬联合麻醉后采用多巴胺维持血压的效果,为临床预防剖宫产腰硬联合麻醉后发生低血压提供借鉴。方法 66例行剖宫产单胎妊娠产妇,随机分为A组和B组,各33例。A组使用多巴胺来维持血压,B组使用麻黄碱来维持血压。比较两组产妇在不同时刻血液动力学指标变化差异。结果两组的收缩压(SBP)、舒张压(DBP)在不同时刻比较,差异均无统计学意义(P>0.05),且两组血压均维持在正常范围内;A组在监测前(T_1)、监测后1 min(T_2)、监测后5 min(T_3)、监测后15 min(T_4)、胎儿娩出时(T_5)时刻心率(HR)均小于B组,且在正常范围,差异具有统计学意义(t=9.90、11.55、11.41、11.56、13.39,P<0.05)。结论使用多巴胺在维持产妇血压的同时,不会增加HR,可以稳定的维持pH值,给胎儿提供充分的氧气,安全可靠,保证母婴安全。Objective To analyze the effect of dopamine in maintaining blood pressure after combinedspinal and epidural anesthesia in cesarean section.Methods A total of66singleton pregnant women withcesarean section were randomly divided into group A and group B,with33cases in each group.Group A receiveddopamine for maintenance of blood pressure,and group B received ephedrine for maintenance of blood pressure.Comparison were made on changes in hemodynamic indicators at different times in two groups.Results Bothgroups had no statistically significant difference in systolic blood pressure(SBP)and diastolic blood pressure(DBP)at different times(P>0.05).The blood pressure in two groups remained in normal range.The heart rate(HR)was normal in group A before monitoring(T1),1min after monitoring(T2),5min after monitoring(T3),15minafter monitoring(T4)and at the time of delivery(T5),and it was lower than group B.Their difference had statisticalsignificance(t=9.90,11.55,11.41,11.56,13.39,P<0.05).Conclusion Dopamine can maintain maternal bloodpressure without increasing the HR at the same time.It can maintain a stable pH,and provide adequate oxygen tofetus.It is safe and reliable,and can ensure maternal and child safety.

关 键 词：剖宫产 腰硬联合麻醉 低血压 原因分析 防治措施 

分 类 号：R614[医药卫生—麻醉学]