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剖宫产术中更高的间羟胺起始剂量可以有效抵消仰卧位对胎儿酸碱平衡和母体低血压的影响
Authors Liu T, Jiang H, Xu C, Li L , Zhang H , Feng Y
Received 21 September 2024
Accepted for publication 14 December 2024
Published 20 December 2024 Volume 2024:18 Pages 6209—6219
DOI https://doi.org/10.2147/DDDT.S492254
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Prof. Dr. Tin Wui Wong
摘要：在一项随机对照非劣效试验中，我们发现，在剖宫产腰麻后，对仰卧位的母亲使用更大初始计量的间羟胺（仰卧位组：2.7微克/千克/分钟，左侧卧位组：2微克/千克/分钟）可以获得非劣于左侧卧位的胎儿脐动脉血pH值和碱剩余。并且两组产妇收缩压和低血压发生率均无显著差异。综上所述，对于无并发症且BMI＜35千克/m2的单胎产妇，使用更大初始剂量的间羟胺来维持血压，仰卧位是完全可以考虑的选择。