左旋布比卡因轻比重腰硬联合麻醉用于剖宫产术的效果观察(2)
综上所述,麻醉阻滞 5 min 后,两组产妇的 SBP、DBP、HR 与麻醉前比较,差异有统计学意义(P<0.05),其中,麻醉阻滞前与麻醉阻滞30 min后LB组的SBP、DBP、HR分别为(131.37±22.40)与(131.43±19.78)mmHg、(88.09±10.97)mmHg与(85.51±10.70)mmHg以及(91.30±10.46)mmHg与(89.31±10.38)次/min;B组分别为(131.44±19.56)mmHg与(131.43±19.69)mmHg、(86.70±10.41)mmHg与(84.80±11.29)mmHg以及(90.31±12.12)次/min与(87.12±12.30)次/min。左旋布比卡因轻比重腰硬联合麻醉用于剖宫产术取得了良好的临床效果,有效的降低不良反应的发生率,增加了产妇的心血管系统的稳定性,尽管与布比卡因相比并没有明显的优势。但其仍具有较好的临床实用价值,值得在剖宫产手术中广泛应用。
[参考文献]
, http://www.100md.com
[1] 蔡鲤香. 左旋布比卡因腰-硬联合麻醉在剖宫产术中的应用效果观察[J]. 中国现代医生, 2011, 49(21):119-121.
[2] 尹丹琴,余翠娥. 左布比卡因腰硬联合麻醉在剖宫产产妇中的临床应用[J]. 实用中西医结合临床, 2014,14(3):56-57.
[3] 李晓霞,郎中兵,龙海林,等.腰硬联合麻醉用于剖宫产时布比卡因腰麻剂量的探讨[J]. 重庆医科大学学报, 2010, 35(5):753-755.
[4] Geng G, Sun X, Huang S. Effect of preloading epidural space with normal saline on the incidence of complications of epidural catheter placement and spinal anesthesia for cesarean section[J]. Journal of Clinical Monitoring and Computing, 2014,28(3):265-268.
, 百拇医药
[5] Arora S, Kulshrestha A. 828:Combined Spinal‐ Epidural Anesthesia for Cesarean Section in a Patient With Dilated Cardiomyopathy[J]. Regional Anesthesia & Pain Medicine, 2008, 33(5):e147.
[6] Cluver C, Novikova N, Hofmeyr G J. Maternal position during caesarean section for preventing maternal and neonatal complications[J]. The Cochrane Library, 2010(6).
[7] Hwang JW,Oh AY,Song IA,et al.Influence of a prolonged lateral position on induction of spinal anesthesia for cesarean delivery: a randomized controlled trial[J]. Minerva Anestesiol. 2012,78(6):646-652.
, 百拇医药
[8] Calvache JA,Muйoz MF, Baron FJ. Hemodynamic effects of a right lumbar-pelvic wedge during spinal anesthesia for cesarean section[J].Int J Obstet Anesth., 2011, 20(4):307-311.
[9] Jeon Y T, Hwang J W, Kim M H, et al. Positional blood pressure change and the risk of hypotension during spinal anesthesia for cesarean delivery: an observational study[J]. Anesthesia & Analgesia, 2010, 111(3): 712-715.
[10] 李涛,崔爱学,刘晓甲. 左旋布比卡因腰-硬联合麻醉在剖宫产手术中的应用[J]. 医药论坛杂志, 2009, 30(21):88-89.
[11] Parneix M,Fanou L,Morau E, et al. Low-dose Combined Spinal-Epidural Anesthesia for Cesarean Section in a Patient With Eisenmenger Syndrome[J]. Obstetric Anesthesia Digest, 2009, 29(3):165-166.
(收稿日期:2014-10-28), 百拇医药(刘岗 周云 吴文娟)
[参考文献]
, http://www.100md.com
[1] 蔡鲤香. 左旋布比卡因腰-硬联合麻醉在剖宫产术中的应用效果观察[J]. 中国现代医生, 2011, 49(21):119-121.
[2] 尹丹琴,余翠娥. 左布比卡因腰硬联合麻醉在剖宫产产妇中的临床应用[J]. 实用中西医结合临床, 2014,14(3):56-57.
[3] 李晓霞,郎中兵,龙海林,等.腰硬联合麻醉用于剖宫产时布比卡因腰麻剂量的探讨[J]. 重庆医科大学学报, 2010, 35(5):753-755.
[4] Geng G, Sun X, Huang S. Effect of preloading epidural space with normal saline on the incidence of complications of epidural catheter placement and spinal anesthesia for cesarean section[J]. Journal of Clinical Monitoring and Computing, 2014,28(3):265-268.
, 百拇医药
[5] Arora S, Kulshrestha A. 828:Combined Spinal‐ Epidural Anesthesia for Cesarean Section in a Patient With Dilated Cardiomyopathy[J]. Regional Anesthesia & Pain Medicine, 2008, 33(5):e147.
[6] Cluver C, Novikova N, Hofmeyr G J. Maternal position during caesarean section for preventing maternal and neonatal complications[J]. The Cochrane Library, 2010(6).
[7] Hwang JW,Oh AY,Song IA,et al.Influence of a prolonged lateral position on induction of spinal anesthesia for cesarean delivery: a randomized controlled trial[J]. Minerva Anestesiol. 2012,78(6):646-652.
, 百拇医药
[8] Calvache JA,Muйoz MF, Baron FJ. Hemodynamic effects of a right lumbar-pelvic wedge during spinal anesthesia for cesarean section[J].Int J Obstet Anesth., 2011, 20(4):307-311.
[9] Jeon Y T, Hwang J W, Kim M H, et al. Positional blood pressure change and the risk of hypotension during spinal anesthesia for cesarean delivery: an observational study[J]. Anesthesia & Analgesia, 2010, 111(3): 712-715.
[10] 李涛,崔爱学,刘晓甲. 左旋布比卡因腰-硬联合麻醉在剖宫产手术中的应用[J]. 医药论坛杂志, 2009, 30(21):88-89.
[11] Parneix M,Fanou L,Morau E, et al. Low-dose Combined Spinal-Epidural Anesthesia for Cesarean Section in a Patient With Eisenmenger Syndrome[J]. Obstetric Anesthesia Digest, 2009, 29(3):165-166.
(收稿日期:2014-10-28), 百拇医药(刘岗 周云 吴文娟)