参附注射液在腰硬联合麻醉方面的应用效果

发布时间：2018-04-27 09:32

本文选题：参附注射液 + 腰硬联合麻醉　；参考：《中国中医药现代远程教育》2016年01期

【摘要】：目的进一步探讨参附注射液在腰硬联合麻醉方面的应用效果。方法将2013年6月—2014年6月麻醉科在实施腰硬联合麻醉下进行剖宫产的120例患者随机分为观察组和对照组,在麻醉前30分钟,观察组给予参附注射液,对照组给予同等量的生理盐水。结果⑴两组研究对象的血压在麻醉后都有所下降,但对照组下降更加明显,两者对比的差异性在麻醉15分钟以后表现比较明显(P0.05);⑵两组研究对象麻醉后的的心率都较麻醉前低,观察组在麻醉15分钟开始,麻醉后的心率与麻醉前比较差异性明显(P0.05);对照组在麻醉后10分钟开始,麻醉后的心率与麻醉前比较差异性明显(P0.05);⑶在麻醉引起的不良反应方面,对照组在低血压、心动过缓、寒战方面的发生率明显高于观察组(P0.05)。结论在腰硬联合麻醉前注射参附注射液可以减少腰硬联合麻醉所引起不良反应、降低麻醉风险,在今后的临床中,应得到进一步的推广。
[Abstract]:Objective to investigate the effect of Shenfu injection on combined spinal-epidural anesthesia. Methods from June 2013 to June 2014, 120 patients undergoing cesarean section under combined spinal-epidural anesthesia were randomly divided into observation group and control group. The observation group was given Shenfu injection 30 minutes before anesthesia. The control group was given the same amount of normal saline. Results 1 the blood pressure of the two groups decreased after anesthesia, but that of the control group was more obvious. The difference between the two groups was obvious after 15 minutes of anesthesia. The heart rate of the two groups after anesthesia was lower than that before anesthesia. The heart rate after anesthesia was significantly different from that before anesthesia in the observation group at 15 minutes after anesthesia (P 0.05), and in the control group at 10 minutes after anesthesia, the difference between the heart rate after anesthesia and that before anesthesia was significant. The incidence of hypotension, bradycardia and shivering in the control group was significantly higher than that in the observation group (P 0.05). Conclusion injection of Shenfu injection before combined spinal-epidural anesthesia can reduce adverse reactions and reduce the risk of anesthesia. It should be further popularized in clinical practice in the future.
【作者单位】：河南省南阳市中医院麻醉科;
【分类号】：R614

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