剖宫产不同麻醉方法对新生儿的影响

Cesarean section anesthesia newborn

目的：探讨训官产实施全身麻醉或硬膜外阻滞麻醉对新生儿的影响。方法；选择同期行全身麻醉或硬膜外阻滞麻醉行剖官产的产妇各40例，比较两组手术时闻、新生儿体重、lmin和5rainApgar评分，新生儿出后30min挠动脉血气分析，以及新生儿出生后1d－5d新生儿神经行为评分（NBNA）。结果；观察组手术时间、新生儿体重、1min Apgar评分压5min Apgar评分分别为37．45±6．28min、3339．64±275．57g、9．51±0．51分、10．00±0分，对照组分别为39．20±6．12min、3325．08±269．96g、9．50±0．49分、10．00±0分，差异均无统计学意义（P〉0．05）；出生后30rain桡动脉血气分析，即pH值、二氧化碳分压（PaC02）、氧分压（PO2）、氧饱和度（SPO2）和红细胞压积（Hct）各项指标比较，均无统计学差异（P〉0．05）。结论，割宫产产妇无论是采用硬膜外阻滞麻醉，还是全身麻醉，对新生儿安全均无明显影响，应根据产妇实际情况，实施合适的麻醉方式。

Objective：To investigate the irdplementation of cesarean section under general anesthesia or epidural anesthesia on newborns. Methods： Concomitant general anesthesia or epidural anesthesia for cesarean section of mothers of 40 cases were compared operative time, birth weight, lmln and 5rain Apgar score, newborn radial arterial blood gas analysis after 30min, and after birth, 1d-5d neonatal behavioral neurological assessment （NBNA）. Result：The operative time, birth weight, 1rain Apgar score and Stain Apgar scores were 37.45±6.28min, 3339. 64±275.57g, 9.5 1± 0. 51 min,10.00±0minutes, the control group were 39.204-6.12rain, 3325. 08±269. 96g,9. 504-0.49 rain,10. 00±0points, the difference was not statistically significant （P〉0.05）; 30rain after the birth of the radial arterial blood gas analysis, that the pH, carbon dioxide partial pressure （PaCO2）, partial pressure of oxygen （PO2）, oxygen saturation （SPO2） and hematocrit （Hct） of the indicators compared were not statistically different （P〈0.05）. Conclusion：The cesarean section, whether the use of epidural anesthesia or general anesthesia, no significant effect on neonatal safety, should be based on the actual situation of mothers, the implementation of appropriate anesthesia.