目标导向液体治疗对剖宫产术腰麻后低血压的疗效观察  

Observation on the Therapeutic Effect of Target Oriented Liquid Therapy on Postoperative Hypotension after Spinal Anesthesia in Cesarean Section

作　　者：刁胜翠 饶祖华[1] Diao Shengcui;Rao Zuhua(Zhongshan Boai Hospital,Zhongshan Guangdong 528403,China)

机构地区：[1]中山市博爱医院,广东中山528403

出　　处：《生命科学仪器》2024年第4期55-57,共3页Life Science Instruments

基　　金：中山市卫生健康局医学科研项目(项目编号:2021A020099)

摘　　要：目的探讨分析连续无创血压指导晶体液共负荷目标导向液体治疗在预防剖宫产腰麻后产妇发生低血压中的作用。方法选择中山市博爱医院于2022年1月至2022年12月在腰麻下行择期剖宫产术产妇63例,随机分为治疗组(31例)与对照组(32例)。对照组产妇予复方氯化钠注射液持续输注,治疗组产妇在腰麻平卧后采用复方氯化钠注射液行目标导向液体治疗。对比两组临床指标、并发症情况及血压水平。结果与对照组相比,治疗组产妇胎儿娩出前低血压发生率、麻黄碱使用率均更低,术中补液量明显更多,P<0.05。两组产妇出血量、尿量、恶心呕吐发生率对比,P>0.05。治疗组产妇麻醉10 min后平均动脉压、舒张压、收缩压均明显高于对照组,P<0.05。结论采用连续无创血压指导下共负荷晶体液目标导向液体治疗可显著降低剖宫产腰麻后产妇低血压发生率,减少血管活性药物的使用,稳定其麻醉后血压水平。Objective:To explore and analyze the role of continuous noninvasive blood pressure-guided crystalloid fluid co-loading target-oriented liquid therapy in preventing hypotension in parturient after spinal anesthesia in cesarean section.Methods:63 parturients who underwent elective cesarean section under spinal anesthesia in Zhongshan Pok Oi Hospital from January 2022 to December 2022 were randomly divided into treatment group(31 cases)and control group(32 cases).The control group was given continuous infusion of compound sodium chloride injection,while the treatment group was given target-oriented liquid therapy with compound sodium chloride injection after lying down with spinal anesthesia.The clinical indexes,complications and blood pressure levels of the two groups were compared.Results:Compared with the control group,the incidence of hypotension before delivery and the use rate of ephedrine in the treatment group were lower,and the fluid infusion during operation was significantly more,P<0.05.The bleeding volume、urine volume and incidence of nausea and vomiting were compared between the two groups,P>0.05.The average arterial pressure、diastolic pressure and systolic pressure in the treatment group were significantly higher than those in the control group after anesthesia for 10 minutes,P<0.05.Conclusion:Target-oriented liquid therapy with co-loading crystalloid solution under the guidance of continuous noninvasive blood pressure can significantly reduce the incidence of maternal hypotension after cesarean section spinal anesthesia,reduce the use of vasoactive drugs and stabilize the blood pressure level after anesthesia.

关 键 词：连续无创血压 目标导向液体治疗 共负荷 剖宫产术 低血压 

分 类 号：R719.8[医药卫生—妇产科学]