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应用麻黄碱预防腰麻所致的低血压 被引量:1

Preventive Effect of Ephedrine on the Hypotension under Spinal Anesthesia
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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
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  • 1刘俊杰 赵俊.现代麻醉学[M].北京:人民卫生出版社,1991.213.
  • 2Vercauteren Mp, Hoffmann V, et al. Hydroxyethylstarch compared with modified gelain as voume preload before spinal anaesthesia for cesarean section[J]. Br J Anaesth, 1996,76: 731
  • 3江明性.药理学[M].第2版.北京:人民卫生出版社,1986,281

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