参附注射液对单次脊麻手术患者血流动力学的影响
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云南中医学院第一附属医院,云南昆明650021

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R6144+1

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Effects of Shenfu Injection on Hemodynamics Undergoing Spinal Anesthesia
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First Affiliated Hospital of Yunnan University of TCM,Kunming Yunnan 650021 China

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    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.

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