剖宫产麻醉期间低血压的防治进展  

Research advances of prevention and treatment of hypotension during cesarean section anesthesia

作　　者：周仁龙[1] 王珊娟[1] 杭燕南[1] Zhou Renlong;Wang Shanjuan;Hang Yannan(Department of Anesthesiology,Renji Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200001,China)

机构地区：[1]上海交通大学医学院附属仁济医院麻醉科,200001

出　　处：《国际麻醉学与复苏杂志》2020年第7期702-707,共6页International Journal of Anesthesiology and Resuscitation

摘　　要：低血压是剖宫产麻醉期间最常发生的不良反应,无论采用何种麻醉方式,均不能完全避免围手术期发生低血压,而低血压本身对于孕产妇和新生儿均会造成一定的不良反应。同时,体位的改变、手术操作以及缩宫素的使用,对于血压的波动也有影响。针对这些因素,文章比较分析了输液、升压药物、体位对于低血压的预防和治疗的优缺点,希望为临床防治剖宫产期间低血压提供一些思路。Hypotension is the most common adverse reaction during cesarean section anesthesia.Whatever anesthesia method is used,perioperative hypotension cannot be completely avoided.Hypotension itself can cause certain adverse reactions to pregnant women and newborns.At the same time,changes in body position,surgical procedures and the use of oxytocin also have some effects on the fluctuation of blood pressure.In view of these factors,this paper compares and analyses the advantages and disadvantages of infusion,inotropic agents and posture in the prevention and treatment of hypotension.This review provides some ideas for clinical prevention and treatment of hypotension during cesarean section.

关 键 词：剖宫产 麻醉 低血压 

分 类 号：R614[医药卫生—麻醉学] R719.8[医药卫生—外科学]