Application of Combined Spinal Epidural Anesthesia Plus Propofol in Cesarean Section_West China Medical Journal

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Department of Anaesthesia, the Central Hospital of Nanchong City, Nanchong Sichuan 637000, China;

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Keywords：

腰硬聯合麻醉; 丙泊酚; 剖宮產

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目的:觀察丙泊酚靜脈泵注復合腰硬聯合麻醉于剖宮產術中的可行性及安全性。方法:50例ASA I~II級行擇期剖宮產術產婦,于L2-3行腰硬聯合麻醉,確定麻醉平面為T4-6,取出胎兒后靜脈緩推丙泊酚1mg/kg,然后2~4mg·kg-1·h-1靜脈泵入,連續監測平均動脈壓,心率,血氧飽和度,呼吸頻率。結果:腰硬聯合麻醉及靜脈推注負荷劑量丙泊酚后平均動脈壓降低,但無臨床意義。余心率,氧飽和度,呼吸頻率各時點無統計學差異。結論:丙泊酚復合腰硬聯合麻醉用于剖宮產術患者生命體征平穩,鎮靜效果良好。

Citation： TIAN Hui.. Application of Combined Spinal Epidural Anesthesia Plus Propofol in Cesarean Section. West China Medical Journal, 2009, 24(9): 2297-2299. doi: Copy

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1. SAMUEL C, HUGHES, GERSHON LEVINSON. 施萊德與萊文森產科麻醉學[M].第4版,濟南:山東科學技術出版社,2005:227.
2. CHERNIK D A, GILLINGS D, LAINE H, et al. Validity and reliability of the observers assessment of alertnessPsedation scale: Study with intravenous midazolam[J]. J Clin Psychopharmacol,1990,10:244.
3. 項雪琴.腰硬聯合麻醉用于婦科腹腔鏡手術[J].中國臨床醫學,2003,4(2):241.
4. 張菊新,凌簫鳴,李榮麗,等.腹腔鏡輔助陰式子宮全切術29例分析[J].實用診斷與治療雜志,2003,17(2):85.
5. SNEYD J R, CARRA WD, et al. A meta analysis of nausea and vomitting following maintenance of anaesthesia with propofol or inhalational agents[J]. Eur J Anaesthesiol,1998,15:433445.
6. 莊心良, 曾因明, 陳伯鑾. 現代麻醉學[M]. 第3 版, 北京: 人民衛生出版社, 2003: 484 487.

West China Medical Journal

Application of Combined Spinal Epidural Anesthesia Plus Propofol in Cesarean Section

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