| 剖宫产术100例脑脊液渗透压对布比卡因腰麻扩散平面的影响分析 |
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| 引用本文： | 李智海,闫炳龙,胡望平,张忠源,叶桂云,陈小杰.剖宫产术100例脑脊液渗透压对布比卡因腰麻扩散平面的影响分析[J].中国医药导报,2011,8(16):99-101. |
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| 作者姓名： | 李智海 闫炳龙 胡望平 张忠源 叶桂云 陈小杰 |
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| 作者单位： | 福建医科大学附属南平市第一医院麻醉科; 福建南平353000; 福建医科大学附属南平市第一医院检验科; 福建南平353000; 军区福州总医院生化科．福建福州350025 |
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| 摘 要： | 目的：探讨剖宫产术脑脊液渗透压等生化特性与等比重布比卡因扩散的关系。方法：腰麻的一次剂量为15 mg/3 ml,即布比卡因与脑脊液稀释混合而成药液,剖宫产腰麻剂量为10 mg/3 ml。比较分析100例剖宫产妇女与58例非妊娠妇女以及男性与女性、绝经妇女与未绝经妇女的脑脊液生化五项与最高麻醉平面。结果：男性患者脑脊液氯、总蛋白等指标与女性有明显差异（P〈0.05）。剖宫产组年龄以及脑脊液渗透压、总蛋白、钠等指标显著低于非妊娠妇女组,而最高麻醉平面显著高于非妊娠妇女组（P〈0.001）,其中脑脊液渗透压差异最明显（F=37.466）。绝经妇女组比未绝经妇女组除年龄外,各指标差异均无统计学意义（P〉0.05）。结论：布比卡因腰麻剖宫产术100例的调查可见脑脊液渗透压与脊髓阻滞程度（麻醉平面）有相关关系（A=44.46-0.13B,r=0.339）。
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| 关 键 词： | 剖宫产 脑脊液 脊髓阻滞程度 渗透压 等比重布比卡因 腰麻 |
Affect analysis of osmotic pressure of CSF on diffusion plane of Bupivacaine lumbar anesthesia for 100 cases with caesarean section |
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| LI Zhihai,YAN Binlong,HU Wangping,ZHANG Zhongyuan,YE Guiyun,CHEN Xiaojie.Affect analysis of osmotic pressure of CSF on diffusion plane of Bupivacaine lumbar anesthesia for 100 cases with caesarean section[J].China Medical Herald,2011,8(16):99-101. |
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| Authors: | LI Zhihai YAN Binlong HU Wangping ZHANG Zhongyuan YE Guiyun CHEN Xiaojie |
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| Institution: | LI Zhihai1,YAN Binlong2,HU Wangping3,ZHANG Zhongyuan2,YE Guiyun2,CHEN Xiaojie2 1.Department of Anesthesiology,the First Hospital of Nanping City Affiliated to Fujian Medical University,Nanping 353000,China,2.Department of Lab Med,3.Department of Biochemistry,Fuzhou Genenal Hospital Military Region,Fuzhou 350025 |
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| Abstract: | Objective: To discuss relationship between osmotic pressure and isobaric Bupivacaine drug spread for caesarean section in cerebrospinal fluid(CSF).Methods: Total dose of 3 ml isobaric admixture of cerebrospinal fluid and 15 mg Bupivacaine(caesarean section 10 mg Bupivacaine) in lumbar anesthesia.Cerebrospinal fluid osmotic pressure et al five item index and extent of spinal block of Bupivacaine in 100 cases cesarean delivery and 58 cases non pregnant women,male patients and female patients,menopausal female... |
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| Keywords: | Cesarean delivery Cerebrospinal fluid Extent of spinal block Osmotic pressure Isobaric Bupivacaine Lumbar anesthesia |
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