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缩宫素不同使用方法对剖宫产产妇生理功能的影响 被引量：4

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摘要 目的研究缩宫素不同使用方法对剖宫产产妇生理功能的影响。方法将90例ASA分级Ⅰ～Ⅱ级剖宫产产妇按随机数字表法分为三组，每组30例，取出胎儿后，产妇子宫平滑肌注射缩宫素20u，然后A组产妇静脉注射缩宫素20U，B组产妇静脉注射缩宫素10U，C组产妇静脉注射缩宫素5U后持续静脉泵注缩宫素5U／h共2h。用缩宫素后，每2min测量1次心率、平均动脉压（MAP）、心电图sT-T，持续10min（T1～T5）；之后每10min记录1次（T6—T7）。比较三组出血量、胎儿取出后20min子宫硬度及恶心呕吐发生情况等。结果A组、B组T1～T2时MAP较T0及同期C组明显下降，心率较T0及同期c组明显升高，T3时均恢复至T0水平。三组出血量和子宫硬度比较差异无统计学意义（P〉0．05）。A组恶心呕吐发生率明显高于B组和C组[16．7％（5，30）比3．3％（1／30）和0，P〈0．05]。A组、B组T1时sT-T较T0及同期c组明显下降[（0．007±0．021）、（O．011±0．023）mY比（0．023±0．011）、（0．020±0．011）、（0．019±0．010）mV，P〈0．05]，T2～T3时仍低，但组内及组间比较差异均无统计学意义（P〉0．05）。结论剖宫产术中，小剂量缩宫素静脉注射加持续静脉泵注可以稳定产妇血流动力学及sT-T，并且减少缩宫素相关不良反应。
作者 李海峰 徐峰
机构地区 陕西省兴平市人民医院麻醉科 南京医科大学附属淮安第一医院麻醉科
出处 《中国医师进修杂志》 2013年第9期55-57,共3页 Chinese Journal of Postgraduates of Medicine
关键词 催产素 剖宫产术 心电描记术
分类号 R614 [医药卫生—麻醉学]
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参考文献7

  • 1徐峰,李法印,张均.腹股沟斜疝修补术中蛛网膜下隙阻滞配制液应用芬太尼剂量的研究[J].中国医师进修杂志,2011,34(27):16-19. 被引量：3
  • 2Kim TS, Bae JS,Park JM,et al. Hemodynamic effects of continuous intravenous injection and bolus plus continuous intravenous injection of oxytocin in cesarean section. Korean J Anesthesiol, 2011,61(6) :482--487.
  • 3Langeser E, Rosseland LA, Stubhaug A. Haemodynamic effects of oxytocin in women with severe preeclampsia. Int J Obstet Anesth, 2011,20( 1 ) : 26-29.
  • 4McLeod G, Munishankar B, MacGregor H,et al. Maternal haemody- namics at elective caesarean section: a randomised comparison of oxytocin 5-unit bolus and placebo infusion with oxytocin 5-unit bolus and 30-unit infusion. Int J Obstet Anesth, 2010,19 (2) : 155- 160.
  • 5Sartain JB, Barry JJ, Howat PW, et al. Intravenous oxytocin bolus of 2 units is superior to 5 units during elective caesarean section. Br J Anaesth, 2008,101 (6) : 822-826.
  • 6Stephens LC,Bruessel T. Systematic review of oxytocin dosing at caesarean section. Anaesth Intensive Care, 2012,40(2 ) : 247-252.
  • 7Yamaguehi ET,Cardoso MM,Torres ML,et al. Serum oxytocin concentrations in elective caesarean delivery: a randomized comparison of three infusion regimens. Int J Obstet Anesth, 2011,20(3):224-228.

二级参考文献4

  • 1成毅.应用贺斯预防剖宫产术中低血压的体会[J].中国医师进修杂志,2006,29(10):58-59. 被引量：1
  • 2Seewal R,Shende D,Kashyap L,et al.Effect of addition of variousdoses of fentanyl intrathecally to 0.5% hyperbaric bupivacaine on perioperative analgesia and subarachnoid-block characteristics in lower abdominal surgery:a dose-response study.Reg Anesth Pain Med,2007,32(1):20-26.
  • 3Waxler B,Mondragon SA,Patel SN,et al.Prophylactic ondansetron does not reduce the incidence of itching induced by intrathecal sufentanil.Can J Anaesth,2004,51 (7):685-689.
  • 4徐峰,李法印,张届新,张跃.改良腰麻对孕产妇母婴安全情况的影响[J].中国误诊学杂志,2010,10(6):1294-1295. 被引量：6

共引文献2

同被引文献41

  • 1ONDREJCAKOVA M, RAVINGEROVA T, BAKOS J, et al. Oxytocin exerts protective effects on in vitro myocardial injury induced by ischemia and reperfusion [ J ]. Canadian Journal of Physiology and Pharmacology, 2009, 87(2) : 137 -142.
  • 2LEE C C, CHANG I J, YEN Z S, et al. Delayed fluid resuscitation in hemorrhagic shock induces proinflammatory cytokine response [J]. Annals of Emergency Medicine, 2007, 49 (1) : 37 -44.
  • 3MCLEOD G, MUNISHANKAR B, MACGREGOR H, et al. Maternal haemodynamics at elective caesarean section : a randomised comparison of oxytocin 5 - unit bolus and placebo infusion with oxytocin 5 - unit bolus and 30 - unit infusion [ J]. International Journal of Obstetric Anesthesia, 2010, 19 (2) : 155 -160.
  • 4LANGESAETER E, ROSSELAND L A, STUBHAUG A. Haemodynamic effects of repeated doses of oxytocin during Caesarean delivery in healthy parturients [ J]. British Journal of Anaesthesia, 2009, 103 (2) : 260 -262.
  • 5McLeod G, Munishankar B, MacGregor H, et al. Maternal haemo-dynamio at elective caesarean section:a randomised comparison of oxytocin 5-unit bolus and placebo infusion with oxytocin 5-unit bo- lusand 30-unit infusion[J]. Int J Obstet Anesth, 2010, 19 ( 2 ) : 155 -160.
  • 6Stephens LC, Bruessel T. Systematic review of oxytocin dosing at caesarean section [ J ]. AnaeathlntensiveCare, 2012, 40 ( 2 ) : 247 - 252.
  • 7Yamaguchi ET,Cardoso MM ,Tones ML,et al. Serum oxytoein con- centrations in elective Caesarean delivery:a randomized comparison of three infusion regimens [ J ]. Int J Obstet Anesth, 2011,20 ( 3 ) : 224 - 1228.
  • 8Jonsson M, Hanson U, Lidell C, et al. ST depression at caesarean section and the relation to oxytoein dose. A randomised controlled trial[J]. BJOG,2010,117(9) :76 -83.
  • 9Svanstrom MC, Biber B, Hanes M, et al. Signs of myocardial is- ehaemia after injection of oxytocin: a randomized double-blind comparison of oxytoein and methylergometrine during caesarean section [ J ]. Br J Anaesth ,2008,100 ( 5 ) :683 - 689.
  • 10林建华,林其德,刘兴会,严建英,贺晶,李力,古航,孙丽洲,张建平,于松,马玉燕,牛建民,夏泳,赵三存,李望,王惠兰,王柄顺.阴道分娩中益母草注射液预防产后出血促进子宫收缩的多中心临床研究[J].实用妇产科杂志,2009,25(1):44-47. 被引量：93

引证文献4

二级引证文献32

中国医师进修杂志
2013年 第9期

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