摘要
目的探析不同剂量去氧肾上腺素预防静脉输注对腰麻下择期剖宫产产妇及新生儿的影响。方法选取我院收治的择期行剖宫产产妇90例,按照治疗方法的不同分为A、B、C 3组,每组30例。A组患者鞘内注药后立即静脉泵注去氧肾上腺素100μg,B组患者鞘内注药后立即静脉泵注去氧肾上腺素200μg,C组行等量生理盐水进行对照。对比3组产妇及其新生儿临床指标。结果 A组的收缩压、舒张压、心率、每搏输出量、心输出量、新生儿Apgar评分优于B组与C组,差异具有统计学意义(P<0.05)。A组不良反应发生率低于B、C2组,差异具有统计学意义(P<0.05)。结论通过为腰麻下择期行剖宫产产妇提供小剂量去氧肾上腺素能够稳定产妇及新生儿生命体征,确保母婴安全及分娩质量。
Objective To investigate the effect of different doses of phenylephrine in the prevention of intravenous anesthesia on parturients undergoing caesarean section under lumbar anesthesia and their newborns.Methods 90 cases of elective cesarean section were divided into three groups：A,B and C according to the different research methods.A group of patients after intrathecal injection of intravenous injection of adrenergic adrenaline 100 μg,B group of patients after intrathecal injection immediately intravenous injection of adrenaline 200 μg,C group of the same amount of saline control.The clinical indexes of the three groups of maternal and neonatal were compared.Results The systolic blood pressure,diastolic blood pressure,heart rate,stroke volume,cardiac output,neonatal Apgar score,group A were better than group B and group C,the difference was statistically significant（P0.05）.The incidence of adverse reactions in group A was lower than that in group B and C,the difference was statistically significant（P0.05）.Conclusion Low dose of phenylephrine can be used to stabilize the maternal and neonatal vital signs,and to ensure the safety of mother and baby and the quality of delivery.
出处
《基层医学论坛》
2017年第28期3803-3804,共2页
The Medical Forum
基金
2016年上饶市社会发展领域第四批科技指导计划项目(20164CZD15)
