摘要
目的探讨新生儿脐带血血气分析评价顺产、硬膜外自控镇痛(PECA)顺产及剖宫产分娩的意义。方法回顾性分析2016年1月至2017年10月来本院分娩的120例产妇,根据临床查体及产妇意愿分为3组,即顺产组(n=40)、PECA顺产组(n=40)、剖宫产组(n=40)。在胎儿娩出后,抽取脐带血予以血气分析,对比3组氢离子浓度指数(pH)、氧分压(PO2)、二氧化碳分压(PCO2)、缓冲碱(BB)、碱剩余(BE)、乳酸(Lac)。结果顺产组pH、PO2、BE低于PECA顺产组、剖宫产组,PCO2、BB、Lac高于PECA顺产组、剖宫产组,差异有统计学意义(P<0.05)。在pH、PO2、PCO2、BB、BE、Lac方面,PECA顺产组与剖宫产组比较,差异无统计学意义。结论 PECA顺产与剖宫产可降低胎儿酸中毒、缺氧风险,然而,因为剖宫产母婴并发症较为严重,所以,临床建议采用PECA顺产,以此确保母婴安全。
Objective To explore the significance of umbilical cord blood gas analysis in the evaluation of spontaneous labor and epidural analgesia （PECA） in labor and cesarean delivery. Methods A retrospective analysis of 120 parturients delivered in our hospital from January 2016 to October 2017 was divided into 3 groups according to the clinical examination and maternal intention, namely, the parturition group （n=40）, the PECA parturition group （n=40）, and the caesarean section （n=40）. After the birth of the fetus, the umbilical cord blood was extracted to analyze the blood gas and compared the 3 groups of hydrogen ion concentration index （pH）, oxygen partial pressure （PO2）, carbon dioxide partial pressure （PCO2）, buffer reduction （BB）, alkali residue （BE）, and lactic acid （Lac）. Results： pH, PO2 and BE in the production group were lower than those of PECA and caesarean section, and PCO2, BB and Lac were higher than those of PECA and caesarean section, the difference was statistically significant （P〈0.05）. In terms of pH, PO2, PCO2, BB, BE and Lac, there was no significant difference between PECA spontaneous delivery group and cesarean section group. Conclusion PECA and cesarean section can reduce the risk of fetal acidosis and hypoxia. However, because of the more serious complications of maternal and infant complications in caesarean section, it is recommended to use PECA to ensure the safety of mother and child.
作者
曾笑梅
傅兰勇
张小峰
缪韵仪
Zeng Xiao Mei;Fu Lanyong;Zhang Xiaofeng(Department of Obstetrics and Gynecology,Ningde Hospital affiliated to Fujian Medical University,Ningde,Fujian,352100)
出处
《当代医学》
2018年第34期63-65,共3页
Contemporary Medicine
基金
福建省宁德市科技局市直指定项目(20140151)
关键词
顺产
硬膜外自控镇痛
剖宫产
脐带血
血气分析
Spontaneous labor
Epidural analgesia
Cesarean section
Umbilical cord blood
Blood gas analysis
