血浆代用品血定安和林格氏液对机体血流动力学影响的比较观察

A COMPARATIVE OBSERVATION OF THE EFFECT ON HUMAN HEMODYNAMICS OF PLASMA SUBSTITUTE GELOFUSINE WITH RINGERS SOLUTION

  • 摘要: 目的:比较血定安和林格氏液对机体血流动力学的影响。方法:选择20例硬膜外阻滞下行子宫切除术的患者,在平面固定于T_6-S后分为血定安组(组Ⅰ)和林格氏液组(组Ⅱ),用无创性连续心排血量监测仪(BOMED-NCCOM-3)测定血流动力学数值。结果:两组患者心排血量(CO)、心脏指数(CI)、每搏量(SV)和每搏指数(SI)等指标在硬膜外阻滞平面固定后均有明显下降。但在组Ⅰ快速输注血定安 500ml后这些指标均有显著意义的上升(p<0. 05),而组Ⅱ输注林格氏液1000ml后则没有出现明显的上升。结论:在硬膜外阻滞后血定安扩容效果比林格氏液好。

     

    Abstract: Objective: To compare the effect on human hemodynamics of Gelofusiue with Ringers solution. Methods: Twenty patients scheduled for elective ulterectomy were divided into Gelofusine group (group Ⅰ) and Ringers solution group(group Ⅱ) after the conduct of epidural block. The parameters of hemodynamics were measured by non-invasive contines cardiac output mornitoring(NCCOM). Results: Cardiac Output (CO), Cardiac Index(CI), Stroke Output(SV) and Stroke index(SI) in two groups were significantly decreased when the sensory levels were finally distributed to T_6-S. Then, those were significantly increased after fast infusing Gerlofusine(500ml) in group Ⅰ, but not Ringers solution (1000ml) in group Ⅱ. Conclution: Gerlofusine as a plasma substitute is better than Ringers solution to dilate blood volume after the conduct of epidural block.

     

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