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題 名 | Intravenous Pretreatment of Hypertonic Saline Can Prevent Systemic Hypotension Induced by Spinal Anesthesia=經靜脈預先注射高張食鹽水溶液可有效預防因脊髓麻醉引起之全身性低血壓 |
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作 者 | 王博文; 邱耀輝; 陳文彬; 彭子瑜; 梁灝根; | 書刊名 | 麻醉學雜誌 |
卷 期 | 35:2 1997.06[民86.06] |
頁 次 | 頁85-90 |
分類號 | 416.5 |
關鍵詞 | 脊髓麻醉; 高張性生理食鹽水溶液; 併發症; 低血壓; Spinal anesthesia; Hypertonic Saline solution; Complications; Hypotension; |
語 文 | 英文(English) |
英文摘要 | 背景:高張食鹽水溶液,當使用於出血性休克的病人,可以成功的恢復其心臟血 管系統的功能,也有報告指出高張食鹽水溶液可預防脊髓麻醉所導致的低血壓。本實驗研究 疝氣手術需接受脊髓麻醉的病人,預先給予晶體溶液或高張食鹽水溶液之後血液動力學及血 中電解質濃度的變化。方法:本研究將 60 位接受疝氣手術,脊髓麻醉的病人,隨機分為二 組,第一組:(n=30) 預先給予晶體溶液 7 ml/kg,第二組:(n=30) 則給予高張食鹽水溶液 7ml/kg,之後記錄血液動力學及血中電解質濃度的變化。結果:第一組大丙發生低血壓的機 率為 17/30 (57%),第二組病人為 7/30 (23%),具有統計學上的差異。 脊髓麻醉的高度, 血中電解質濃度的變化在二組病人並沒有明顯的不同。結論:預先靜脈注射少量高張食鹽水 溶液可以有效的預防脊髓麻醉所導致的低血壓,不會增加體內鈉離子的負荷,且沒有傳統方 式讓大量等張溶液在體內堆積的缺點。 7 mg/kkg (n=30); Group 2=patients were given prehydration with 3% hypertonic saline at 7 ml/kg (n=30). Following prehydration, arterial blood pressure and heart rate were recorded and serum electrolyte concentrations were measured. Results: The incidence of hypotension was 17/30 (57%) in the isotonic lactated Ringer's solution group as against 7/30 (23%) in the hypertonic saline group (p<0.05). There was no significant difference between two groups in relation to the level of anesthesia or maximal heart rate, and electrolyte imbalance did not occur in either group. Conclusions: Prior to spinal anesthesia, hydration with small amount to hypertonic saline is effective to minimize hypotension associated with spinal anesthesia. If so administered it would not increase bodily sodium load and unlike isotonic crystalloid solution it dose not cause accumulation of water in the body on equipollent basis. |
本系統中英文摘要資訊取自各篇刊載內容。