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参附注射液对单次脊麻手术患者血流动力学的影响(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2010年06期
页码:
18-20
栏目:
临床研究
出版日期:
2010-12-20

文章信息/Info

Title:
Effects of Shenfu Injection on Hemodynamics Undergoing Spinal Anesthesia
作者:
张涛唐洁张春和
云南中医学院第一附属医院,云南昆明650021
Author(s):
ZHANG TaoTANG JieZHANG Chun-he
First Affiliated Hospital of Yunnan University of TCM,Kunming Yunnan 650021 China
关键词:
参附注射液单次脊麻血流动力学
Keywords:
shenfu injectionsingle spinal anesthesiahemodynamic
分类号:
R6144+1
DOI:
-
文献标识码:
A
摘要:
目的:观察参附注射液预注对单次脊麻手术患者血流动力学的影响。方法:90例单次脊麻手术患者随机分为参附组(A)和对照组(B),每组45例。A组麻醉前输注乳酸钠林格液500mL+参附注射液50mL,B组输注乳酸钠林格液500ml。观察两组患者收缩压(SBP)、舒张压(DBP)、心率(HR)、血氧饱和度(SPO2)的变化。记录血管活性药物麻黄碱,阿托品的使用例数。结果:A组给局麻药后5min,15min SBP,DBP明显高于B组(P<005),注药后15min HR明显高于B组(P<005)。A组血管活性药物使用例数显著低于B组(P<005)。结论:参附注射液预注应用于单次脊麻手术患者,可降低心动过缓和低血压发生率,对血流动力学稳定有保护作用。
Abstract:
Objection:Serving the effects of shenfu pre-injection on hemodynamics in patients undergoing single spinal anesthesia. Methods:ninety patients who scheduled for abdominal or lower limb operation were randomly divided into two groups with 45 cases each group.Group A were injected 50ml Shenfu dissolved in 500mL Sodium dissolved in 500mL sodium lactate ringer injection before anesthesia.And group B were only injected 500mL sodium lactate ringer injection.The following data were recorded and analyzed:SBP、 DBP、 HR、 SPO2 and the cases of using ephedrine and atropine.Results:Compared with group B,SBP and DBP were obviously increased in 5 minutes and 10 minutes after anesthesia in group A(P<005);HR was obviously increased in 15 minutes(P<005).The cases of using ephedrine and atropine were obviously decreased in group A(P<005)than group B.Conclusion:Pre-injection shenfu is useful in maintaining stability of hemodynamic in patients during single spinal anesthesia,which could decrease the incidence of hypotension and bradycardia.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期:2010—09—03修回日期:2010—10—16 作者简介:张涛(1973~),云南大理人,主治医师,主要从事临床麻醉学研究。
更新日期/Last Update: 2011-04-06