腰硬联合麻醉体位变化对剖宫产孕妇血液动力学的影响

Effect of the Combination With Spinal Epidural Anesthesia and Postural Changes on Hemodynamic in Pregnant Women With Cesarean Section

目的探讨腰硬联合麻醉(CSEA)体位变化对剖宫产孕妇血液动力学的影响。方法比较传统平卧位(对照组,n=40)与坐位(研究组,n=40)下注药联合CSEA的效果。结果研究组收缩压与心率变化更平稳,而对照组波动更大,组间比较差异有统计学意义(P<0.05)。结论 CSEA坐位下注药能确保剖宫产孕妇血流动力学更稳定,安全性更高。

Objective To investigate the effects of combined spinal-epidural anesthesia（CSEA） and postural changes on hemodynamic in pregnant women with cesarean section.Methods Compared to the traditional methods in supine position（control group,n=40） and sitting（study group,n=40） injection combined with CSEA effect.Results The systolic blood pressure and heart rate of the study group were more stable,while the control group was more volatile,and there was significant difference between the two groups（P〈0.05）.Conclusion CSEA seat injection can ensure the cesarean section maternal hemodynamics more stable,more secure.