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麻黄碱与去氧肾上腺素联合不同麻醉剂对剖宫产产妇麻醉质量与血流动力学的影响

Effects of Ephedrine and Phenylephrine combined with Different Anesthetics on Anesthesia Quality and Hemodynamics in Cesarean Section
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摘要 目的简要探究麻黄碱和去氧肾上腺素联合不同麻醉剂对产妇剖宫产麻醉质量及血流动力学的实际影响。方法将2016年6月-2017年6月我院收治的100例产妇选为本次研究观察对象,随机分为对照组和观察组,每组50例。为两组产妇分别泵入麻黄碱、去氧肾上腺素后观察产妇的麻醉质量。结果观察组产妇的麻醉质量明显优于对照组,组间差异符合统计学意义(P<0.05);观察组产妇的术后不良反应发生率明显低于对照组,对比结果差异符合统计学意义(P<0.05)。结论无论是泵入麻黄碱还是泵入去氧肾上腺素,都可以确保产妇的剖宫产麻醉质量,而去氧肾上腺素的血流动力学稳定性却明显高于麻黄碱,因此,在临床治疗中可以选择联合治疗方式,为产妇提供更好的诊疗服务,以保证产妇的身体健康及生命安全。 Objective To investigate the practical effect of ephedrine and phenylephrine combined with different anesthetics on the quality of anesthesia and hemodynamics of pregnant women during cesarean section. Methods From June 2016 to June 2017, 100 maternal admitted to our hospital were selected as observation subjects and randomly divided into control group and observation group with 50 cases in each group. Two groups of maternal were pumped into ephedrine, phenylephrine observe the quality of anesthesia. Results The quality of anesthesia in the observation group was significantly better than that in the control group, the differences between the groups were statistically significant(P〈0.05).The incidence of postoperative adverse reactions in the observation group was significantly lower than that in the control group, the difference was statistically significant(P〈0.05). Conclusion The quality of caesarean section anesthesia can be ensured whether pumped with ephedrine or phenylephrine, whereas the pharmacokinetics of phenylephrine is significantly higher than that of ephedrine. Therefore, in the clinical treatment can choose a combination of treatment for the mothers to provide better treatment services to ensure that maternal health and life safety.
作者 杜立娟 蔡艳玲 张玉霞 DU Li-juan;CAI Yan-ling;ZHANG Yu-xia(People's Hospital of Langfang, Langfang, Hebei, 06500)
出处 《智慧健康》 2018年第2期152-153,共2页 Smart Healthcare
关键词 麻黄碱 去氧肾上腺素 剖宫产 麻醉质量 血流动力学 Ephedrine Phenylephrine Cesarean section Anesthetic quality Hemodynamics
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