在剖腹产分娩中进行脊髓麻醉后,对外围皮肤温度变化的观察研究
L Kessack1, G Davenport1, C McGlennan1
1Department of Anaesthesia, Rosie Hospital, Cambridge University Hospitals NHS FT, Cambridge, UK.
International journal of obstetric anesthesia
|March 14, 2024
概括
剖腹产的脊髓麻醉可靠地增加了脚皮肤温度,表明了同情性阻塞. 这种客观测量可以帮助确认成功的麻醉,并与传统的测试.
科学领域:
- 产科麻醉学 产科麻醉学
- 自主神经系统研究 自主神经系统研究
- 临床测量技术 临床测量技术
背景情况:
- 脊柱麻醉在剖腹产中很常见,但其同情阻塞效应尚未完全理解.
- 关于该人群中脊髓麻醉后同情阻塞的发展和特征的数据有限.
- 这项研究通过通过外围温度变化检查同情阻塞来解决知识差距.
研究的目的:
- 调查剖腹产产后脊髓麻醉后同情阻塞的特征.
- 测量脚部外围皮肤温度变化作为同情阻塞的指标.
- 为了确定温度变化的可靠性和时间,注射后.
主要方法:
- 对60名分娩妇女进行了前性观察性研究,她们接受了选择性剖腹产与脊髓麻醉.
- 使用附带的探头,对双脚的皮肤温度进行持续监测.
- 收集脊柱麻醉剂量和相关患者数据.
主要成果:
- 在所有参与者中都取得了成功的脊髓麻醉.
- 在脊柱后麻醉后观察到脚皮肤温度的持续升高,这表明了同情性阻塞.
- 注射后6-15分钟发生最大的温度升高,在22分钟左右停滞.
结论:
- 成功的剖腹产脊柱麻醉可靠地在六分钟内诱导脚皮肤温度升高.
- 脚皮肤温度的变化提供了双边交感封锁的客观证据.
- 测量脚皮肤温度可以作为成功脊柱麻醉的额外客观指标.
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