新型可充气抗休克裤预防蛛网膜下腔阻滞下剖宫产术中低血压的效果

目的 观察新型可充气抗休克裤预防蛛网膜下腔阻滞(腰麻)下剖宫产术中低血压的效果.方法 选择择期在腰麻下行剖宫产术的单胎足月妊娠产妇97例,年龄18～35岁,ASAⅡ或Ⅲ级,孕期>37周.采用随机数字表将产妇分为两组:对照组(n=48)和观察组(n=49).观察组腰麻后立即穿戴新型可充气抗休克裤,对照组不使用.腰麻后2～...

Effect of new inflatable anti-shock pants for preventing intraoperative hypotension during spinal anaesthesia for cesarean section

Objective To observe the clinical application of a new inflatable anti-shock pants to prevent intraoperative hypotension during spinal anesthesia for cesarean section.Methods Ninety-seven mature parturient women with single-embryo scheduled for elective cesarean section,aged 18-35 years,ASA physical statusⅡorⅢ,with a gestational age>37 weeks,were randomly divided into two groups according to random number table method:control group(n=48)and observation group(n=49).New inflatable anti-shock pants were used immediately after spinal anesthesia in the observation group but not in the control group.Maternal BP were measured at 2 minutes intervals beginning 2 minutes after spinal injection for 30 minutes.If hypotension(SBP<80%of the base value)occurred during the operation,intravenous injection of phenylephrine 100μg was administered.The incidence of hypotension,hypertension,nausea,vomiting,and bradycardia were recorded.The time of fetal delivery,neonatal weight,and neonatal 1 and 5 minutes Apgar scores were recorded.Results The incidences of hypotension and nausea in the observation group were significantly lower than those in the control group(P<0.05).There were no statistically significant differences in neonatal weight,or neonatal 1 and 5 minutes Apgar scores between the two groups.Conclusion The new inflatable anti-shock pants reduce the incidence of intraoperative hypotension and the magnitude of blood pressure drop during cesarean section.