山东医药2012，Vol.52Issue(6)：17-19,3.
剖宫产产妇腰麻后应用低血压综合征预防托架对新生儿脐血血气指标的影响
Effect of the application of bracket for preventing supine hypotention syndrome on umbilical blood gas of fetus during cesarean section
摘要
Abstract
Objective To investigate the effect of the application of bracket for preventing supine hypotention syndrome on umbilical blood gas of fetus(hereinafter referred to as uterine bracket) after spinal anesthesia during cesarean section. Method 120 ASA I or D parturients underwent cesarean section under spinal anesthesia and were randomly divided into two groups. The control group of pregnant women after spinal anesthesia made operating table ISO left-leaning, experimental group after spinal anesthesia applicated the bracket. Umbilical blood was taken before the first time of new-born breath for blood gas analysis. The time intervals from spinal anesthesia to skin incision and from uterine incision were recorded. Results In experimental group,pH,PO2,PCO2,BE,HCO3- were 7.28 ±0.06,(15.93 ±4.41)mmHg, (47.25 ±8.52)mm-Hg,( -4.05 ±2.50)mmol/mL,(23.13 ±4.28)mmol/mL in umbilical artery; and (7.31 ±0.06) ,(21.28 ±4.24)mm-Hg, (42.59 ±7.72)mmHg, ( -4. 73 ± 1.93)mmol/mL,(21. 90 ±3. 46)mmol/mL in umbilical vein;but 7. 24 ±0. 08, (14.57±5.08)mmHg,(51.01 ±12.49)mmHg,( -5.03 ±2.00)mmol/mL, (23. 62 ±8.60)mmol/mL in umbilical artery of control group. The control group of pH <7.15 were seven cases, but uterine bracket group were zero( P <0.05). Conclusion The application of uterine bracket after spinal anesthesia for cesarean section can make umbilical blood gas of newborns be less affected.关键词
腰麻/剖宫产/新生儿/血气分析Key words
spinal anesthesia/ cesarean section/ newborn/ blood gas analysis分类
医药卫生引用本文复制引用
姚翔燕,孟凡民,张加强,杜献慧,齐艳艳..剖宫产产妇腰麻后应用低血压综合征预防托架对新生儿脐血血气指标的影响[J].山东医药,2012,52(6):17-19,3.基金项目
河南省医学科技攻关项目(200801010). （200801010）
