摘要
目的观察腰-硬联合(CSEA)和连续硬膜外阻滞(EA)对新生儿的影响。方法选择足月单胎妊娠的健康产妇,预测胎儿大于2500 g的剖宫产手术60例,孕妇随机分CSEA及EA组,两组均在胎儿娩出时抽取脐动脉血进行血气分析,同时观察羊水状况和对新生儿进行Apgar评分,比较两组指标。结果CSEA组及EA组新生儿1min评分分别为(8.9±0.8)分(、8.5±1.1)分,差异无显著意义(P>0.05);胎儿娩出时脐动脉血的pH值,CSEA及EA组分别为7.24±0.06、7.25±0.07,差异无显著意义(P>0.05)。结论CSEA和EA均可以安全地用于剖宫产手术。
Objective To investigate the influence of the combined spinal epidural anaesthesia and the epidural anaesthesia on newborn infants.Methods Sixty singleton pregnant women for whom elective cesarean sections were planned after 37 gestational weeks were allocated to combined spinal epidural anaesthesia group or epidural anesthesia group.Artery samples were withdrawn from the doubly clamped umbilical cord segment at delivery for the pH.Apgar scores at 1 min and 5 min were also recorded.Results The mean Apgar score at 1 min for the combined spinal epidural anaesthesia group was((8.9)±(0.8)) and((8.5)±(1.1)) for the epidural anesthesia group,without significant difference between them(P>(0.05)).The mean PH of artery samples in the combined spinal epidural anasthesia group was((7.24)±(0.06)) and((7.25)±(0.07)) in the epidural anesthesia group respectively,without significant difference between them(P>(0.05)).Conclusion Both combined spinal epidural anaesthesia and epidural anaesthesia can be used in elective term cesarean sections safely.
出处
《华中医学杂志》
2006年第6期471-472,共2页
Central China Medical Journal
关键词
剖宫产
麻醉
新生儿
血气分析
阿普加评分
Cesarean section Anaesthesia Newborn infants Blood-gas analysis Apgar scores
