CAJ | 학술논문

目的：探讨异氟醚用于阴道分娩镇痛对新生儿神经行为的影响。方法：75例产妇随机分为异氟醚组、笑气组和对照组，采用新生儿神经适应能力评分(NACS)对新生儿出生后15min，2h及24h进行监测。结果：3组新生儿的神经行为状态差异无显著性(P>0.05)。15min，2h及24h的评分相比，3组新生儿均为2h的评分最低。24h评分时，3组分别有92％、89％和90％的新生儿评为高分。结论：吸人异氟醚分娩镇痛对新生儿15min、2h及24h的神经行为状态无不良影响。
목적：탐토이불미용우음도분면진통대신생인신경행위적영향。방법：75례산부수궤분위이불미조、소기조화대조조，채용신생인신경괄응능력평분(NACS)대신생인출생후15min，2h급24h진행감측。결과：3조신생인적신경행위상태차이무현저성(P>0.05)。15min，2h급24h적평분상비，3조신생인균위2h적평분최저。24h평분시，3조분별유92％、89％화90％적신생인평위고분。결론：흡인이불미분면진통대신생인15min、2h급24h적신경행위상태무불량영향。
To study the neonatal neurobehavioral effect of inhalatingisoflurane for analgesia in vaginal delivery. Meth-ods: A total of 75 primiparae were randomly divided into three groups: group A ( n = 25)received isoflurane, group B( n = 25) re-ceived nitrous oxide and group C ( n = 25) received air as control. Neurologic Adaptive Capacity Scores (NACS)were performed atthe 15th min,the 2nd hour and the 24th hour after the infants were bom. Restlts: There were no significant differences amongthree groups( P>0.05). Comparision among data at the 15 th min, 2nd hour and 24th hour, revealed that at the 2nd hour thethree groups all had the lowest scores while at the 24th hour they all had high scores( ≥35 score)accounting for 92% ,89% and90%, respectively. C Conclusion: Inhalation of isoflurane has no side effect on neonatal neurobehavior at the 15th min,2nd hour and24th hour after birth.