【摘要】 目的 观察麻醉前输注6%贺斯在剖宫产腰麻联合硬膜外麻醉(CESA)中预防低血压等不良反应的效果。方法 选择60例择期ASAⅠ～Ⅱ级CESA下剖宫产病人，随机分为两组(n=30)，麻醉前30min分别输注500ml6%贺斯(H组)和乳酸钠林格液(L组)。观察各时点的收缩压(SBP)、舒张压(DBP)、心率(HR)的变化、低血压发生率和恶心呕吐及应用麻黄碱的情况。结果 L组在麻醉后DBP、SBP下降明显高于H组，低血压发生率和恶心呕吐及应用麻黄碱的例数L组亦高于H组。而HR的变化两组之间差异无显著性。结论 麻醉前输注贺斯能有效地预防低血压等不良反应的发生。

    Gan Jianhui，Chen Jie

    Department of Aneathesiology，Tangshan People’s Hospital，Tangshan063000.

    【Abstract】 Objective To observe the effect of hydroxyethyl starch on preventing hypotension and other side effect during combined epidural and spinal aneathesia for cesarean section.Methods 60patients classified as ASA gradedⅠ～Ⅱwho received selective cesarean section under CESA were randomly divided into two groups(n=30) ......