腰麻和硬膜外麻醉下剖宫产新生儿血压的比较

Effect of spinal anesthesia or epidural anesthesia on neonatal blood pressure after caesarean section

目的观察硬膜外麻醉和腰麻对新生儿血压的影响。方法选择120例剖宫产新生儿随机分为硬膜外麻醉组和腰麻组,比较两组新生儿24、48h收缩压和舒张压。结果腰麻组24h收缩压显著低于硬膜外麻醉组,而舒张压差异无统计学意义;48h收缩压和舒张压比较差异均无统计学意义。结论腰麻组剖宫产新生儿24h收缩压显著低于硬膜外麻醉组。

Objective To determine the effect of spinal anesthesia and epidural anesthesia on neonatal BP in the first day of life. Methods 120 cases of elective caesarean section were randomly arranged to group E（epidural anesthesia） and group S（spinal anesthesia）. Neonatal systolic BP and diastolic BP were recorded in 24 h endpoint and 48 h endpoint. Results Spinal anaesthesia was associated with a lower systolic BP reading on first 2/1 h, bul not with diastolic BP reading（P〈0.05 and P：〉0.05, respectively）. There was no difference between two groups on 48h reading. Conclusion Spinal anaesthesia is associated with a statistically lower systolic BP on the first day of life.