Effects of different fluid therapy on maternal and neonate for cesarean sections under spinal anesthesia
- VernacularTitle:不同补液方案对腰麻下剖宫产术母婴的影响
- Author:
Mingpin HU
1
;
Le ZHANG
;
Yuanyuan LU
;
Bing ZHANG
Author Information
1. 温州医科大学附属第二医院麻醉科
- Keywords:
Fluid therapy;
Spinal anesthesia;
Cesarean delivery;
Umbilical cord blood gas analysis
- From:
China Modern Doctor
2014;(24):86-89
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects of different fluid therapy on maternal and neonate for undergoing elective cesarean sections under spinal anesthesia. Methods A total of 150 ASA Ⅰ or II parturients were randomly divided into A,B,C groups. Each group was respectively immediately infused 5, 15 and 25 mL/kg after the infusion of Lactated Ringer's Solution 5 mL/kg, MAP, HR and CVP were recorded at any time point. Hct and Lactate were monitored of maternal at the end of operation. Arterial and vein blood samples were taken from umbilical cord for blood-gas analy-sis. Results Hemodynamic and Lac, Hct were significantly stable in group B and group C than those in group A during operation(P<0.01), the CVP levels were significant stable in groups B than those in group C(P<0.01). And the umbilical arterial, venous pH and PO2 in group B were significantly higher than those in group A and group C(P<0.05). Conclu-sion After transfusion of Lactate Ringer's Solution immediately infused 15 mL/kg immediately for cesarean sections un-der spinal anesthesia, has less influence on maternal and infant.
