剖宫产患者蛛网膜下腔阻滞麻醉后低血压的 预测、监测方法研究进展

Predicting and monitoring of hypotension after spinal anesthesia for patients undergoing cesarean section

摘要:

产科麻醉具有特殊性，需要兼顾产妇和胎儿。椎管内麻醉，尤其蛛网膜下腔阻滞麻醉是剖宫产手 术的主流麻醉方式。蛛网膜下腔阻滞麻醉后低血压是其最常见的并发症，对产妇和胎儿均会产生不利影响， 甚至威胁生命安全。若能早期进行风险预测，发现危险人群，予以相应的预防措施，同时实时监测血流动力学 参数，及时处理，可明显降低低血压的发生率，保障产妇和胎儿的安全。

Abstract:

Obstetric anesthesia has its particularity, which needs to give attention to both puerpera and fetus. Intraspinal anesthesia, especially spinal anesthesia, is the mainstream of cesarean section anesthesia. Spinal anesthesia-induced hypotension is the most common complication, which will have adverse effects on the puerpera and fetus, and even lead to death. Although a number of preventive and management measures have been proposed, no strategy has been fully satisfactory and applicable to all patients. If early risk prediction can be carried out, the risk population can be found. Thus, the corresponding preventive measures, real-time monitoring of hemodynamic parameters, and timely treatment, can significantly reduce the incidence of hypotension to ensure the safety of puerpera and fetus. The method of predicting and monitoring hypotension after spinal anesthesia was introduced to provide references for anesthesia management in cesarean section.