穆希马医院剖宫产孕妇中脊髓麻醉引起严重低血压的发生率
Incidence of Spinal Anesthesia Induced Severe Hypotension among the Pregnant Women Undergoing Cesarean Section at Muhima Hospital.
作者信息
Munyanziza Thomas
机构信息
Department of Anesthesia, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
出版信息
Rwanda J Med Health Sci. 2022 Apr 12;5(1):62-70. doi: 10.4314/rjmhs.v5i1.8. eCollection 2022 Apr.
BACKGROUND
The spinal induced severe hypotension is frequently reported during cesarean section; the literature counts 70% of severe hypotension following spinal anesthesia for cesarean section. This complication is thought to be serious and even fatal, when not well managed; however, in Rwanda, we have a limited data about that spinal induced life-threatening complication.
OBJECTIVES
To determine the incidence and factors associated with spinal anesthesia induced severe hypotension during caesarian section at Muhima hospital.
METHODOLOGY
The study was cross-sectional, descriptive and analytical in design. The study population was the pregnant women scheduled for cesarean section, and a sample size of 108 was used. A self-developed questionnaire was used as data collection tool.
RESULTS
Forty percent of participants' experienced spinal anesthesia induced severe hypotension; while preloading, left tilt position and infusion of ephedrine, were associated with lower incidence of severe hypotension.
CONCLUSION
The incidence of spinal induced severe hypotension is high, however, preloading; left lateral position and co-infusion of ephedrine were found to protect the participants from spinal induced severe hypotension. Therefore, these techniques should be promoted.
背景
剖宫产期间经常出现脊髓诱导的严重低血压；文献显示剖宫产脊髓麻醉后严重低血压的发生率为70%。这种并发症若处理不当，被认为是严重的甚至是致命的；然而，在卢旺达，我们关于这种脊髓诱导的危及生命并发症的数据有限。
目的
确定穆希马医院剖宫产期间脊髓麻醉诱导严重低血压的发生率及相关因素。
方法
本研究为横断面、描述性和分析性设计。研究对象为计划剖宫产的孕妇，样本量为108例。使用自行编制的问卷作为数据收集工具。
结果
40%的参与者经历了脊髓麻醉诱导的严重低血压；而预负荷、左侧卧位和麻黄碱输注与严重低血压的较低发生率相关。
结论
脊髓诱导严重低血压的发生率较高，然而，预负荷、左侧卧位和麻黄碱联合输注被发现可保护参与者免受脊髓诱导严重低血压的影响。因此，应推广这些技术。
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