CAJ | 학술논문

目的：探讨羟乙基淀粉130/0.4氯化钠注射液在剖宫产术中的临床应用价值。方法将2013年1月—2014年6月210例行择期剖宫产产妇随机分为观察组及对照组各105例，观察组输注羟乙基淀粉130/0.4氯化钠注射液500 mL，对照组输注乳酸钠林格液500 mL，然后实施腰-麻联合麻醉。结果2组产妇的均顺利完成手术，无呼吸抑制，脉搏血氧饱和度在98%~100%，术前平均动脉压、心率比较无显著性差异（P>0.05）；观察组术中平均动脉压高于对照组；心率、低血压发生率，麻黄碱总用量低于对照组（P<0.05）。结论腰-硬联合麻醉行剖宫产手术前输注羟乙基淀粉130/0.4氯化钠注射液，能有效减少术中低血压的发生，是安全可靠的措施。
목적：탐토간을기정분130/0.4록화납주사액재부궁산술중적림상응용개치。방법장2013년1월—2014년6월210례행택기부궁산산부수궤분위관찰조급대조조각105례，관찰조수주간을기정분130/0.4록화납주사액500 mL，대조조수주유산납림격액500 mL，연후실시요-마연합마취。결과2조산부적균순리완성수술，무호흡억제，맥박혈양포화도재98%~100%，술전평균동맥압、심솔비교무현저성차이（P>0.05）；관찰조술중평균동맥압고우대조조；심솔、저혈압발생솔，마황감총용량저우대조조（P<0.05）。결론요-경연합마취행부궁산수술전수주간을기정분130/0.4록화납주사액，능유효감소술중저혈압적발생，시안전가고적조시。
ObjectiveTo investigate the Hydroxyethyl starch 130/0.4 sodium chloride injection clinical value in the application of cesarean section.MethodsIn January2013-June 2014 210 lines marked maternal as study cases,were randomly divided into observation group and the control group(n=105),observation group infusion 500 ml Hydroxyethyl starch 130/0.4 sodium chloride injection,control group infusion liquid sodium lactate slinger 500 ml,then implement the waist-hemp combined anesthesia.ResultsTwo groups of mothers were successfully completed surgery,no respiratory depression,pulse oxygen saturation in 98%~100%,preoperative mean arterial pressure,heart rate was no significant difference(P>0.05);Observation group of mean arterial pressure higher than that of control group;Heart rat times/min,the incidence of hypotension ephedrine、The total ephedrine is lower than the control group(P<0.05).ConclusionThe waist line - hard combined anesthesia cesarean delivery before surgery infusion Hydroxyethyl starch 130/0.4 sodium chloride injection can effectively reduce the occurrence of intraoperative hypotension,is reliable and safe effective measures.