| 硬膜外麻醉对剖宫产患者血液流变学的影响 |
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| 引用本文： | 陈建平,杨建新,武志刚,王汉夫.硬膜外麻醉对剖宫产患者血液流变学的影响[J].山西医科大学学报,2002,33(5):443-445. |
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| 作者姓名： | 陈建平 杨建新 武志刚 王汉夫 |
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| 作者单位： | 山西医科大学第二临床医学院麻醉科,太原,030001 |
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| 摘 要： | 目的 观察持续硬膜外麻醉对剖宫产患者血液流变学的影响及意义。方法 选择剖宫产患者20例，分别于麻醉前、麻醉平面达T10后、胎儿娩出后30min采集静脉血3ml，枸橼酸钠抗凝，用国产SA－B型多功能电脑血液流变学监测仪监测低切变率、中切变率及高切变率的全血黏度、血细胞比容、红细胞聚集指数、全血还原黏度。结果 麻醉后各切变率的全血黏度、血浆黏度、血细胞比容、红细胞聚集指数、全血还原黏度均明显降低（P＜0．05），且持续到胎儿娩出后。结论 持续硬膜外麻醉有助于降低产妇血黏度，改善其微循环功能。
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| 关 键 词： | 硬膜外麻醉 剖宫产 血液流变学 |
| 文章编号： | 1007-6611(2002)05-0443-03 |
Effect of epidural blockade on the hemorrheology in patients with cesarean section |
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| CHEN Jian ping,YANG Jian xin,WU Zhi gang,et al.Effect of epidural blockade on the hemorrheology in patients with cesarean section[J].Journal of Shanxi Medical University,2002,33(5):443-445. |
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| Authors: | CHEN Jian ping YANG Jian xin WU Zhi gang |
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| Abstract: | Objective To evaluate the hemorrheology following epidural blockade anesthesia in patients with cesarean section. Methods Venous blood samples for 3 ml were drawn in 20 patients with cesarean section before anesthesia, anesthesia level arriving T10 and 10 minutes after delivery respectively, and anticoagulated with sodium citrate solution. Whole blood viscosity was assessed with multifunction monitor. Result Whole blood viscosities of variety of shear stresses, plasma viscosity, whole blood restoring viscosity,hematocrit, red blood cell glutination index decreased significently after epidural blockade anesthesia, and continued after delivery. Conclusion Epidural blockade anesthesia can decrease blood viscosity of cesarean section patients, and improve their microcirculation function. |
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| Keywords: | cesarean section anesthesia epidural hemorrheology |
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