中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
18期
35-36
,共2页
椎管内麻醉%无痛分娩%新生儿%远期
椎管內痳醉%無痛分娩%新生兒%遠期
추관내마취%무통분면%신생인%원기
Intraspinal anesthesia%Painless parturition%Newborn%Long-term
目的：分析椎管内麻醉无痛分娩对新生儿的远期影响。方法：收治行阴道分娩的正常足月单胎妊娠产妇118例，按照是否采取镇痛措施分为观察组和对照组，每组59例。观察组行椎管内麻醉无痛分娩，对照组不采取镇痛措施，比较两组产妇的新生儿Apgar评分、血气分析指标与随访2年后AAMD-ABS评分情况。结果：观察组产妇的新生儿在出生后1 min和5 min的Apgar评分、血pH、PO2和PCO2水平以及AAMD-ABS总评分与对照组均具有较高一致性(P＞0.05)。结论：椎管内麻醉无痛分娩对新生儿的远期影响不显著，即安全性较高。
目的：分析椎管內痳醉無痛分娩對新生兒的遠期影響。方法：收治行陰道分娩的正常足月單胎妊娠產婦118例，按照是否採取鎮痛措施分為觀察組和對照組，每組59例。觀察組行椎管內痳醉無痛分娩，對照組不採取鎮痛措施，比較兩組產婦的新生兒Apgar評分、血氣分析指標與隨訪2年後AAMD-ABS評分情況。結果：觀察組產婦的新生兒在齣生後1 min和5 min的Apgar評分、血pH、PO2和PCO2水平以及AAMD-ABS總評分與對照組均具有較高一緻性(P＞0.05)。結論：椎管內痳醉無痛分娩對新生兒的遠期影響不顯著，即安全性較高。
목적：분석추관내마취무통분면대신생인적원기영향。방법：수치행음도분면적정상족월단태임신산부118례，안조시부채취진통조시분위관찰조화대조조，매조59례。관찰조행추관내마취무통분면，대조조불채취진통조시，비교량조산부적신생인Apgar평분、혈기분석지표여수방2년후AAMD-ABS평분정황。결과：관찰조산부적신생인재출생후1 min화5 min적Apgar평분、혈pH、PO2화PCO2수평이급AAMD-ABS총평분여대조조균구유교고일치성(P＞0.05)。결론：추관내마취무통분면대신생인적원기영향불현저，즉안전성교고。
Objective:To analyze the long-term effect of painless parturition by intraspinal anesthesia on the newborn.Methods:According to whether the analgesia measures,118 cases of normal full-term maternal with vaginal delivery were divided into the observation group and the control group,with 59 cases in each group.The observation group were given painless parturition by intraspinal anesthesia,the control group were not given analgesic action.The neonatal Apgar score,blood gas analysis index and AAMD-ABS followed up for 2 years of the maternal in the two groups were compared.Results:The Apgar score of 1 min and 5 min after the birth of newborns,pH,PO2 and PCO2 levels and AAMD-ABS total score in the observation group had high consistency with the control group(P>0.05).Conclusion:Painless parturition by intraspinal anesthesia had no significant long-term effect on the newborn and had higher security.
