羟乙基淀粉对剖宫产腰硬联合麻醉后低血压疗效分析

Analysis of Curative Effect of Hydroxyethyl Starch for Hypotension after the Cesarean Delivery Combined Spinal Epidural Anesthesia

目的分析羟乙基淀粉对剖宫产腰硬联合麻醉后低血压疗效。方法方便选择该院自2014年3月—2015年5月期间收治的剖宫产患者120例,依据来院先后顺序进行平均分组,予以羟乙基淀粉的患者设为研究组,予以复方氯化钠注射液的患者设为参照组,分析注射结果。结果两组患者经不同注射液后,麻醉后2 min、5 min和15 min的收缩压(104±9)、(110±6)、(116±7)mm Hg,同入室时(131±8)mm Hg比对明显较低(P<0.05);比对两组术中输液总量,研究组(2 510±237)m L明显优于参照组的(3 690±435)m L,差异有统计学意义(P<0.05),比对两组患者的尿量,研究组(470±66)m L和参照组(500±70)m L,差异无统计学意义(P>0.05)。结论患者行剖宫产时予以羟乙基淀粉注射液可以使血流动力学得以改善,具有较高的安全性。

Objective To analyze the curative effect of hydroxyethyl starch for hypotension after the cesarean delivery combined spinal epidural anesthesia.Methods 120 cases of patients with cesarean delivery admitted and treated in our hospital from March 2014 to May 2015 were convenient selected and divided into two groups according to the admission order,the research group adopted the hydroxyethyl starch,while the control group adopted the ringer＇s solution,and the injection results were analyzed.Results After injection,the systolic pressures at 2 min,5 min and 15 min after anesthesia were obviously lower than that those on admission,[（104±9）,（110±6）,（116±7）mm Hg vs（131±8）mm Hg]（P〈0.05）,the total intraoperative infusion amount in the research group was obviously better than that in the control group,[（2 510±237）m Lvs（3 690±435）m L]（P〈0.05）,and the difference had statistical significance,and the difference in the urine volume between the research group and the control group had no statistical significance,[（470±66）m L vs（500±70）m L]（P〈0.05）.Conclusion The hydroxyethyl starch injection at the time of cesarean delivery can improve the hemodynamics with higher safety.