摘要
目的 探讨腰硬联合镇痛分娩对新生儿黄疸的影响.方法选择自2012年3月-2013年3月间我院收治的健康产妇400例,随机分为镇痛组与对照组,各200例.其中镇痛组腰硬联合镇痛分娩,而对照组自然分娩,各顺产足月儿200例,比较两组新生儿实验室血胆红素、经皮黄疸仪测定指数及肉眼对皮肤黏膜观察情况.结果两组新生儿实验室血胆红素测定指数每日总平均值比较差异无统计学意义（P〉0.05）;两组经皮黄疸仪测定胆红素指数均是3、4 d达到最高峰及测定胆红素指数比较差异无统计学意义（P〉0.05）;两组患者1周内黄疸人数比较差异无统计学意义（P〉0.05）.结论腰硬联合镇痛分娩及用药对新生儿黄疸无影响.
Objective To explore the impact of combined spinal-epidural analgesia during childbirth on neonatal jaundice. Methods A total of 400 healthy parturients admitted and treated in our hospital from Mar 2012 to Mar 2013 were selected and randomly assigned to the analgesia group and the control group with 200 cases in each group. The analgesia group was given combined spinal-epidural analgesia during childbirth while the control group had natural childbirth. 200 term infants were delivered in each group. The neonatal hemobilirubin level ,biliruhin index measured by transcutaneous jaundice meters and visual observations of skin and mucosa were compared between the two groups. Results The study compared the daily average hemobilirubin level （P〉0.05）; the number of neonates with jaundice within 1 week （P〉0.05）） ; and the bilirubin index measured by transcutaneous jaundice meters which reached the peak on day 3 or day 4 （P〉0.05） in both groups. Conclusion Combined spinal-epidural analgesia and drug use during childbirth has no impact on neonatal jaundice.
出处
《中国现代医生》
2014年第7期76-77,80,共3页
China Modern Doctor
关键词
腰硬联合
镇痛分娩
新生儿黄疸
血胆红素
Combined spinal-epidural
Analgesia during childbirth
Neonatal jaundice
Hemobilirubin
