[1]吴 迪,余 璇,余梓行.蛛网膜下腔-硬膜外联合阻滞麻醉在以 FF-TEG 为导向的 产科大出血输血治疗中的麻醉效果及对应激反应的影响研究[J].内蒙古医科大学学报,2019,41(04):347-349.
 ,ANESTHETIC EFFECT OF SUBARACHNOID-EPIDURAL COMBINED ANESTHESIA IN FF-TEG-ORIENTED OBSTETRIC HEMORRHAGE TRANSFUSION AND ITS EFFECT ON STRESS RESPONSE[J].Acta Academiae Medicinae Neimongol,2019,41(04):347-349.
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蛛网膜下腔-硬膜外联合阻滞麻醉在以 FF-TEG 为导向的 产科大出血输血治疗中的麻醉效果及对应激反应的影响研究()
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《内蒙古医科大学学报》[ISSN:1004-2113/CN:15-1129/R]

卷:
41
期数:
2019年04期
页码:
347-349
栏目:
出版日期:
2019-08-12

文章信息/Info

Title:
ANESTHETIC EFFECT OF SUBARACHNOID-EPIDURAL COMBINED ANESTHESIA IN FF-TEG-ORIENTED OBSTETRIC HEMORRHAGE TRANSFUSION AND ITS EFFECT ON STRESS RESPONSE
文章编号:
2095-512X(2019)04-0347-03
作者:
吴 迪 余 璇 余梓行
自贡市第四人民医院 麻醉科,四川 自贡 643000
Author(s):
WU Di YU Xuan YU Zi-xing
Zi Gong Forth People’S Hospital,Zi Gong 643000 China
关键词:
蛛网膜下腔-硬膜外联合阻滞麻醉血栓弹力图产科大出血输血治疗
Keywords:
subarachnoid - epidural combined block anesthesiathromboelastographyobstetric hemorrhagetransfusion therapy
分类号:
R614
文献标志码:
A
摘要:
目的:探讨蛛网膜下腔-硬膜外联合阻滞麻醉在以血栓弹力图(FF-TEG)为导向的产科大出血输血 治疗中的麻醉效果及对应激反应的影响。方法:选择 2016-10 ~ 2018-10 治疗的产后大出血病人 120 例作为对 象,所有病人均在 FF-TEG 为导向下进行输血治疗,随机数字表分下分为对照组(n = 60 例)和观察组(n = 60 例)。对照组给予全身麻醉,观察组采用蛛网膜下腔-硬膜外联合阻滞麻醉,比较两组血流动力学水平、应激反 应及并发症发生率。结果:两 T 1、T 2 及 T 3 时间点心率,高于 T 0(P<0.05);观察组与对照组 T 1、T 2 及 T 3 时 间点平均动脉压,低于 T 0(P<0.05);观察组 T 1、T 2 及 T 3 时间点心率,高于对照组(P<0.05);观察组 T 1、T 2 及 T 3 时间点平均动脉压,低于对照组(P<0.05);观察组麻醉后 CORT、CA、GLU 水平,均低于对照组(P<0.05)。 结论:将蛛网膜下腔-硬膜外联合阻滞麻醉用于以 FF-TEG 为导向的产科大出血输血治疗中血流动力学水平稳 定,能降低病人应激反应,值得推广应用。
Abstract:
Objective:To investigate the effect of subarachnoid-dual epidural anesthesia on the an esthetic effect and stress response of obstetric hemorrhage guided by thromboelastography(FF-TEG). Methods:A total of 120 patients with postpartum hemorrhage treated from October 2016 to October 2018 were enrolled.All patients underwent FF-TEG-directed transfusion therapy.The random number table was divided into control group(n = 60 cases).and observation group(n = 60 cases).General anes thesia was given to the control group,and subarachnoid-epidural anesthesia was used in the observation group. The hemodynamics,stress response,and complication rate were compared between the two groups.Results:The T1,T2 and T3 time snack rates were higher than T0(P<0.05).The mean arterial pressure at T1,T2 and T3 in the observation group and the control group was lower than T0(P<0.05). The T2 and T3 time snack rate was higher than that of the control group(P<0.05).The mean arterial pressure at the T1,T2 and T3 time points in the observation group was lower than that in the control group(P<0.05).The observed group was anesthetized with CORT,CA and GLU.The levels were lower than the control group(P<0.05). Conclusion:Subarachnoid-epidural block anesthesia is used for FFTEG-oriented obstetric hemorrhage transfusion therapy with stable hemodynamics.It is worth promoting.

备注/Memo

备注/Memo:
收稿日期:2019-04-13;修回日期:2019-07-19 作者简介:吴迪(1978-),男,自贡市第四人民医院麻醉科主治医师。
更新日期/Last Update: 2019-09-18