Efficacy of acetate Ringer's solution for fluid therapy in patients with dangerous placenta previa un-dergoing cesarean section
10.3760∕cma.j.issn.0254-1416.2019.06.023
- VernacularTitle:醋酸钠林格液用于凶险性前置胎盘患者剖宫产术液体治疗的效果
- Author:
Guihong ZHU
1
;
Zhen YANG
;
Kaizhi LU
Author Information
1. 陆军军医大学(第三军医大学)第一附属医院手术麻醉科
- Keywords:
Placenta previa;
Cesarean section;
Fluid therapy;
Sodium acetate ringer's injec-tion
- From:
Chinese Journal of Anesthesiology
2019;39(6):726-729
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of acetate Ringer's solution for fluid therapy in the patients with dangerous placenta previa undergoing cesarean section. Methods One hundred fifty-two pa-tients, aged 22-41 yr, with body mass index of 20-30 kg/m2 , of American Society of Anesthesiologists physical status Ⅱ or Ⅲ, scheduled for elective cesarean section under general anesthesia, were allocated to 2 groups ( n=76 each) using a random number table method: acetate Ringer's solution group ( group AR) and lactated Ringer's solution group ( group LR) . Acetate Ringer's solution and lactated Ringer's so-lution 500 ml were intravenously infused at an initial rate of 15 ml·kg-1 ·h-1 followed by an infusion of 10 ml·kg-1·h-1 until patients leaved the operating room in two groups. Blood samples were collected from the left radial artery immediately before fluid replacement, at the end of fluid replacement and at 6 h after sur-gery for blood gas analysis. The development of arrhythmia was recorded during fluid replacement. The postpartum hemorrhage at 2 h after surgery was calculated. Results Compared with group LR, the Mg2+level was significantly increased and blood glucose was decreased at the end of fluid replacement, the inci-dence of arrhythmia was decreased ( P ＜ 0. 05) , and no significant change was found in each parameter of blood gas analysis at 6 h after surgery, postpartum hemorrhage at 2 h after surgery or consumption of ephed-rine in group AR ( P＞0. 05) . Conclusion Acetate Ringer's solution can be effectively used for fluid ther-apy, maintain the internal environment stable and prevent the occurrence of arrhythmia effectively during cesarean section in the patients with dangerous placenta previa.
