碳酸氢钠林格液在腰硬联合麻醉剖宫产液体治疗中的应用——一项随机对照研究

Application of Sodium Bicarbonate Ringer’s Solution in Liquid Treatment of Cesarean Section under Combined Spinal and Epidural Anesthesia—A Randomized Controlled Study

摘要: 探讨不同容量碳酸氢钠林格液对蛛网膜下腔–硬膜外联合麻醉下剖宫产手术产妇术中血流动力学、产妇血气情况、新生儿Apgar评分及脐静脉血气，以及术后产妇肠功能恢复、伤口愈合、早期母乳喂养、住院时间及术后其他并发症等方面的影响，探索碳酸氢钠林格液对产妇循环稳定、内环境的改善是否有利，是否使产妇在术后快速康复中获益，以期获得剖宫产手术麻醉中碳酸氢钠林格液合理的液体治疗方案。

Abstract: This paper investigates the effects of varying volumes of sodium bicarbonate Ringer’s solution on hemodynamics, maternal blood gas status, neonatal Apgar score, and umbilical vein blood gas during cesarean section under subarachnoid-epidural anesthesia. Additionally, we aimed to assess postoperative intestinal function recovery, wound healing, early breastfeeding, length of hospital stay, and other postoperative complications. The objective is to determine whether so-dium bicarbonate Ringer’s solution contributes to the stable circulation and improved internal environment of parturient women. Furthermore, we seek to evaluate whether parturient women can benefit from rapid recovery after surgery. Ultimately, the goal is to achieve a rea-sonable fluid treatment plan for the use of sodium bicarbonate Ringer’s solution in anesthesia for cesarean section operations.