Fung B K, Gislefoss A J, Ho E S
Department of Anesthesiology, Puli Christian Hospital, Taiwan, R.O.C.
Ma Zui Xue Za Zhi. 1992 Jun;30(2):119-23.
The incidence of hypotension induced by spinal anesthesia in 154 ASA class I or II patients having Cesarean section and postpartum bilateral tubal ligation was studied. Xylocaine (2%) 60-65 mg was used for spinal anesthesia. There was 41.0% of patients in Cesarean section group developed hypotension induced by spinal anesthesia, and 13.5% in tubal ligation group. We found no correlation between the time after delivery and the occurrence of hypotension induced by spinal anesthesia. In addition, 20.3% of the patients in tubal ligation group required intravenous narcotics because of inadequate sensory blockade during skin incision, but only 9.0% in Cesarean section needed the same supplement which was due to visceral pain during intra-abdominal manipulation. We conclude that spinal anesthesia with 2% xylocaine is safe and effective in both Cesarean section and postpartum tubal ligation although a significant difference of spinal hypotension existed.
对154例接受剖宫产和产后双侧输卵管结扎术的ASA I级或II级患者，研究了脊麻引起低血压的发生率。使用2%的利多卡因60 - 65mg进行脊麻。剖宫产组有41.0%的患者发生脊麻引起的低血压，输卵管结扎组为13.5%。我们发现分娩后时间与脊麻引起低血压的发生之间无相关性。此外，输卵管结扎组有20.3%的患者因皮肤切口时感觉阻滞不足而需要静脉注射麻醉剂，但剖宫产组只有9.0%的患者因腹腔内操作时的内脏疼痛需要同样的补充。我们得出结论，尽管存在显著的脊麻低血压差异，但2%利多卡因脊麻在剖宫产和产后输卵管结扎术中都是安全有效的。
