摘要
目的 观察预防性注射麻黄碱对病人腰麻期间血压的影响。方法 50例ASAⅠ~Ⅱ级择期手术病人随机分为A、B两组 ,年龄为 18~ 75岁。腰麻前 30min快速静脉滴注乳酸林格氏液 10ml/kg。腰麻完成后 ,A组静注麻黄碱 10mg的同时肌注 2 0mg ;B组则给予等容量的生理盐水。结果 B组病人麻醉后86 %的病人SBP下降超过 2 9% ,而A组则血压下降不明显。
? Objective To evaluate the preventive effect of ephedrine on hypotension under spinal anesthesia in patients.Methods Fifty ASAⅠ~Ⅱpatients aged from 18 to 75 years old who were scheduled for spinal anesthesia were randomly divided into A?B groups with 25 each.Every patient received a fluid loading of 10 ml/kg before spinal anesthesia.The ephedrine was administrated to group A in a dose of 10 mg iv and 20 mg im and same amout of normal saline was administrated to group B as soon as spinal anesthesia was performed.Results Eighty-six percent of the patients in group B had a SBP decrease exceeding 29%,but the decrease in SBP of the patients in group A was not obvious.Conclusion Prophylactic use of ephedrine is effective in the prevention of hypotension during spinal anesthesia.
出处
《深圳中西医结合杂志》
2001年第4期211-212,共2页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
腰麻
低血压
麻黄碱
Spinal anesthesia
Hypotension
Ephedrine