温度对局麻药临床效果的影响及剖宫产腰麻的研究进展
Effect of Temperature on Clinical Effects of Local Anesthetics and Research Progress in Spinal Anesthesia of Cesarean Delivery
DOI: 10.12677/ACM.2022.123223, PDF,   
作者: 张 磊, 兰忠平, 张二飞*:延安大学附属医院麻醉科,陕西 延安
关键词: 温度局部麻醉药剖宫产腰麻Temperature Local Anesthetics Cesarean Section Spinal Anesthesia
摘要: 局部麻醉药通过可逆性地阻断神经冲动发生和传导,从而广泛应用于临床工作。临床工作中发现不同温度的局麻药产生的麻醉效果有差异,但目前却很少被关注。剖宫产首选的麻醉方式为腰麻,但术中因腰麻所致低血压的发生率高,剖宫产孕妇特有的生理变化可能是导致腰麻所致低血压高于其他人群的重要原因。现就局麻药温度变化对临床效果的影响及剖宫产腰麻特殊性这两方面进行阐述。
Abstract: Local anesthetics are widely used in clinical work by reversible blocking the conduction and production of nerve impulses. It was found that the efficacy of local anesthetics will be changed as its temperatures changed, but there is little attention by clinicians these years. Spinal anesthesia is widely used in cesarean section, but the incidence of spinal anesthesia induced hypotension (SAIH) is high. The unique physiological changes in pregnancy may lead to the incidence of SAIH is higher than others. The impact of local anesthetic temperature changes on clinical effects and specialty of spinal anesthesia in cesarean section will be described.
文章引用:张磊, 兰忠平, 张二飞. 温度对局麻药临床效果的影响及剖宫产腰麻的研究进展 [J]. 临床医学进展, 2022, 12(3): 1546-1554. https://doi.org/10.12677/ACM.2022.123223

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