DONG Yaning, ZHANG Xingjuan. Effect of supine hypotension syndrome on pregnancy outcome of puerperas with cesarean section[J]. Journal of Clinical Medicine in Practice, 2020, 24(20): 79-82. DOI: 10.7619/jcmp.202020022
Citation: DONG Yaning, ZHANG Xingjuan. Effect of supine hypotension syndrome on pregnancy outcome of puerperas with cesarean section[J]. Journal of Clinical Medicine in Practice, 2020, 24(20): 79-82. DOI: 10.7619/jcmp.202020022

Effect of supine hypotension syndrome on pregnancy outcome of puerperas with cesarean section

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  • Received Date: August 24, 2020
  • Available Online: December 21, 2020
  • Published Date: November 12, 2020
  • Objective To investigate the effect of supine hypotension syndrome on pregnancy outcome of puerperas with cesarean section. Methods Totally 94 puerperas with cesarean section were divided into observation group and control group according to hypotension or not, with 47 cases in each group. The systolic blood pressure of the control group was greater than or equal to 100 mmHg, while that of the observation group was less than 100 mmHg. The blood gas indexes were observed in both groups, including alkali residue(BE), arterial hydrogen ion concentration index(pH), partial pressure of arterial oxygen [pa(O2)], partial pressure of arterial blood carbon dioxide [pa(CO2)]. Blood pressure during delivery and Apgar score of newborns were compared between the two groups. The changes of blood gas indexes of umbilical artery, umbilical vein blood and the abnormal rate of umbilical artery pH were compared between the two groups. Results There were no significant differences in blood gas indexes such as BE, pH, pa(O2)and pa(CO2)in puerperas between the two groups(P>0.05). There were no significant differences in systolic blood pressure at fetal birth and neonatal Apgar score between the two groups(P>0.05). The lowest systolic pressure before fetal birth in the observation group was significantly lower than that in the control group(P<0.05). There were significant differences in BE, pH, pa(O2)and pa(CO2)of umbilical vein and artery blood in newborns between the two groups(P<0.05). The abnormal rate of umbilical artery pH≥7.20 in the observation group was significantly lower than that in the control group, and the abnormal rate of pH value ranged - from 7.10 to less than 7.20 was significantly higher than that in the control group(P<0.05). Conclusion Supine hypotension syndrome during cesarean section may lead to hypercapnia and hypoxia in newborns. Active measures should be taken to improve the maternal and infant outcomes.
  • 徐娜, 马挺, 王天龙. 不同吸入氧浓度对剖宫产术中仰卧位低血压综合征的新生儿脐血血气分析的影响[J]. 北京医学, 2016, 38(6): 617-618.
    BOLEA J, JESUS L, GIL E, et al. Pulse Rate and Transit Time Analysis to Predict Hypotension Events After Spinal Anesthesia During Programmed Cesarean Labor[J]. Annals of Biomedical Engineering, 2017, 45: 2253–2263.
    夏爱华, 徐伯章. 腰-硬联合麻醉剖宫产术中仰卧位低血压综合征的防治[J]. 中国全科医学, 2017, 10(14): 1196-1196.
    KONDO Y, HIROSE N, MAEDA T, et al. Relationship between changes in regional cerebral blood volume and oxygenation and changes in cardiac output and systemic vascular resistance during spinal anesthesia in women undergoing cesarean section[J]. Journal of Anesthesia, 2019, 41(2): 966-967.
    余伶俐, 占乐云, 黄陈红, 等. 布比卡因不同注药时长与剖宫产患者腰麻后仰卧位低血压的关系[J]. 中国煤炭工业医学杂志, 2016, 19(2): 198-200.
    RYU J M, CHOI Y S, BAE J Y. Bleeding control using intrauterine continuous running suture during cesarean section in pregnant women with placenta previa[J]. Archives of Gynecology and Obstetrics, 2018, 299(4): 12-12.
    郭会江, 马春梅, 谢秋明, 等. 小剂量甲氧明、麻黄碱联合预防剖宫产腰硬联合麻醉术中低血压的效果[J]. 中国医药导报, 2016, 13(31): 93-96.
    HARIHARAN U, HARIHARAN U. Postpartum hemorrhage and pregnancy induced hypertension during emergency lower segment cesarean section: dexmedetomidine to our rescue[J]. Rev Bras Anestesiol, 2017, 67(3): 1090-1097.
    任瑶瑶, 吴云. 蛛网膜下腔-硬膜外联合麻醉剖宫产低血压的预防与处理[J]. 国际麻醉学与复苏杂志, 2016, 37(11): 1017-1021

    , 1026.
    CHOOI C, COX J J, LUMB R S, et al. Techniques for preventing hypotension during spinal anesthesia for caesarean section[J]. Cochrane database of systematic reviews(Online), 2017, 8(5): CD02-CD07.
    车向明. 不同药物对剖宫产产妇低血压预防效果的对比[J]. 河北医学, 2016, 22(4): 661-664.
    BUTWICK A J, WALSH E M, KUZNIEWICZ M, et al. Patterns and predictors of severe postpartum anemia after Cesarean section[J]. Transfusion, 2016, 57(1): 36-44.
    封英, 陈新忠. 血管升压药防治剖宫产术蛛网膜下腔麻醉后低血压的研究进展[J]. 中华麻醉学杂志, 2019, 39(4): 397-400.
    EDNO MAGALHÃES, CATIA SOUSA GOVÊIA, LUÍS CLÁUDIO DE ARAUJO LADEIRA, et al. Ephedrine versus Phenylephrine: Prevention of Hypotension during Spinal Block for Cesarean Section and Effects on the Fetus[J]. Revista Brasileira de Anestesiologia, 2019, 59(1): 11-20.
    胡洪涛, 帅兵, 刘丹姝, 等. 腰麻剖宫产低血压两种防治措施下胎盘的体视学研究[J]. 中国妇幼保健, 2012, 27(10): 1557-1560.
    KØHLER F, SØrensen J F, HELBO-HANSEN H S. Effect of delayed supine positioning after induction of spinal anaesthesia for caesarean section?[J]. Acta Anaesthesiologica Scandinavica, 2016, 46(4): 441-446.
    彭永保, 周群, 郑剑锋, 等. 脉搏灌注变异指数预测剖宫产产妇硬膜外阻滞后发生低血压的可行性[J]. 实用医学杂志, 2016, 32(6): 357-365.
    BRIZGYS R V, DAILEY P A, SHNIDER S M, et al. The Incidence and Neonatal Effects of Maternal Hypotension During Epidural Anesthesia for Cesarean Section[J]. Anesthesiology, 2018, 67(5): 782-786.
    张平玲. 剖宫产术中仰卧位低血压综合征8例报告[J]. 实用医院临床杂志2017, 24(6): 113-113.
    HARTLEY H, ASHWORTH H, KUBLI M, et al. Spinal Anesthesia For Cesarean Section: A Comparison Of The Effects Of Right Lateral And Supine-Wedged Positions On Blood Pressure[J]. Anesthesiology, 2016, 22(11): 1532-1536.
    彭清雄. 产妇剖宫产术中仰卧位低血压综合征的影响因素分析[J]. 医学临床研究, 2016, 28(4): 718-720.
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