CAJ | 학술논문

目的观察体位对产妇血流动力学及新生儿Apgar评分的影响.方法硬膜外麻醉下行择期剖宫产的产妇80例均分为四组,分别采用平卧位(S组)、左侧倾斜30°位(L组)、左侧倾斜15°同时头低15°位(LT组)、仰卧同时头低15°位(ST组).记录各组麻醉前、麻醉后5、10、15 min、胎儿娩出即刻患者的MAP、HR、SpO_2及新生儿1-、5-min的Apgar评分.结果麻醉后10 min,S、L,T、ST三组MAP与麻醉前比较明显降低(P<0.05),也明显低于L组(P<0.05);新生儿出生后1-、5-min的Apgar评分组间差异无统计学意义.结论左侧倾斜30°位可有效降低剖宫产术中低血压的发生率.
목적 관찰체위대산부혈류동역학급신생인Apgar평분적영향.방법 경막외마취하행택기부궁산적산부80례균분위사조,분별채용평와위(S조)、좌측경사30°위(L조)、좌측경사15°동시두저15°위(LT조)、앙와동시두저15°위(ST조).기록각조마취전、마취후5、10、15 min、태인면출즉각환자적MAP、HR、SpO_2급신생인1-、5-min적Apgar평분.결과 마취후10 min,S、L,T、ST삼조MAP여마취전비교명현강저(P<0.05),야명현저우L조(P<0.05);신생인출생후1-、5-min적Apgar평분조간차이무통계학의의.결론 좌측경사30°위가유효강저부궁산술중저혈압적발생솔.
Objective To assess the effects of positions on circulation and neonatal during Caesarean section under epidural anaesthesia. Methods Eighty healthy parturients undergoing selective Caesarean section were randomly allocated in four groups with 20 cases each, who were positioned in supine (group S), left oblique 30 degress(group L), left oblique 15 degrees with 15 degrees Trendelenburg(group LT), or supine with 15 degrees Trendetenburg (group ST) position. MAP, HR,SpO_2 were recorded before and at 5 min, 10 min, 15 min during anesthesia. Apgar scores of 1-and 5-min were observed as well. Results MAP in groups of S, LT and ST was significantly lower at 10 min during anesthesia than that before or group L(P<0. 05) There was no significant difference in 1-and 5-min Apgar scores among four groups. Conclusion The left oblique 30 degrees position could effectively reduce the incidence of hypotension during Caesarean section under epidural anaesthesia