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妊娠与脑脊液葡萄糖和蛋白质含量对腰麻的影响 被引量：2

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摘要 目的:探讨妊娠、脑脊液葡萄糖和蛋白质含量、腰麻阻滞平面之间的关系。方法:选择90例女性病人,分为非妊娠组、早期妊娠组和足月妊娠组,每组30例,测定脑脊液葡萄糖和蛋白质含量,以及0.5%布比卡因2ml腰麻时的麻醉阻滞平面。结果:足月妊娠组脑脊液葡萄糖含量减少(P<0.05)。脑脊液蛋白质含量依次为:非妊娠组>早期妊娠组>足月妊娠组(P<0.01)。足月妊娠组的麻醉平面T1和T2均比非妊娠组和早期妊娠组高(P<0.05)。足月妊娠组的麻醉平面全部能满足手术要求。结论:不能单用脑脊液葡萄糖和蛋白质含量下降以及脑脊液密度下降来解释足月妊娠剖宫产手术腰麻时麻醉平面的升高现象,可能与许多综合因素有关。
作者 李太富 王莹雪 黄龙
机构地区 深圳市罗湖医院
出处 《中国妇幼保健》 CAS 北大核心 2007年第10期1392-1393,共2页 Maternal and Child Health Care of China
关键词 妊娠 脑脊液 葡萄糖 蛋白质 腰麻
分类号 R173 [医药卫生—妇幼卫生保健]
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参考文献7

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同被引文献40

  • 1廖荣宗,史誉吾,区锦燕,彭健泓,陈耀雄,周曙,韩月明.往返吸注与改变注药速度对蛛网膜下隙阻滞特征的影响[J].临床麻醉学杂志,2005,21(7):464-466. 被引量：4
  • 2翟书涛.体象障碍[J].四川精神卫生,1996,9(3):211-212. 被引量：6
  • 3Chen M, Chen C, Ke Q. The effect of age on the median effective dose (EDs0) of intrathecally administered plain bupivacaine for motor.block[J]. Anesthesia & Analgesia 2014, 118(4): 863-868.
  • 4Higuchi H, Hirata J, Adachi Y, et al. Influence of lumbosacral cerebrospinal fluid density, velocity, and volume on extent and duration of plain bupivacaine spinal anesthesia[J]. Anesthesiology, 2004, 100(1):106-114.
  • 5Yung L, Mrinalini B, Robert P, et al. Dose requirement of intrathecal bupivacaine for cesarean delivery is similar in obese and normal weight women[J]. Brazilian Journal of Anesthesiology, 2009, 59(6):674-683.
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  • 7Zhan Q, Huang S, Geng G, et al. Comparison of relative potency of intrathecal bupivacaine for motor block in pregnant versus non- pregnantwomen[J].IntJObstetAnesth,2011,20(3):219-223.
  • 8Hsu Y, Hettiarachchi HD, Zhu DO, et al. The frequency and magnitude of cerebrospinal fluid pulsations influence intrathecal drug distribution:key factors for interpatient variability[J]. Anesth Analg, 2012, 115(2):386-394.
  • 9Loubert C, Hallworth S, Fernando R, et al. Does the baricity of bupivacaine influence intrathecal spread in the prolonged sitting position before elective cesarean delivery? A prospective randomized controlled study[J]. Anesth Analg, 2011, 113(4):811-817.
  • 10Elfil H, Crowley L, Segurado R,et al.A randomised controlled trial of the effect of a head-elevation pillow on intrathecal local anaesthetic spread in caesarean[J]. Int J Obstet Anesth. 2015, 24(4):303-307.

引证文献2

二级引证文献7

中国妇幼保健
2007年 第10期

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