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目的探讨斜曲卧位是否能有效预防硬-腰联合麻醉下剖宫产时仰卧位低血压的发生。方法将120例拟在硬-腰联合麻醉下行剖宫产手术患者随机分为两组,每组60例,Ⅰ组为斜曲卧位组,Ⅱ组为对照组。监测两组麻醉后仰卧位低血压综合征发生情况。结果Ⅰ组(斜曲卧位)组有2例发生仰卧位低血压综合征,Ⅱ组(对照组)有11例发生仰卧位低血压综合征。两组比较差异有统计学意义(P<0.05)。结论采用斜曲卧位可有效预防硬-腰联合麻醉下剖宫产时仰卧位低血压的发生。
Objective To investigate whether oblique supine position can effectively prevent supine hypotension during cesarean section under hard-lumbar anesthesia. Methods A total of 120 patients undergoing cesarean section under hard-lumbar anesthesia were randomly divided into two groups (60 cases in each group). The incidence of supine hypotensive syndrome after anesthesia was monitored in both groups. Results In supine hypothalamus group, supine hypotensive syndrome occurred in 2 patients and supine hypotensive syndrome occurred in 11 patients in group Ⅱ (control group). The difference between the two groups was statistically significant (P <0.05). Conclusion The use of oblique transection can effectively prevent supine hypotension during cesarean section under hard-lumbar anesthesia.