脊硬联合麻醉行无痛分娩对胎儿新生儿影响的相关性研究

Research about the effect on newborn when pain free labour by combined analgesia of spinal cord and epidura,

目的 :探讨脊硬联合麻醉行无痛分娩对胎儿、新生儿的影响。方法 :选择 192例无禁忌证的初产妇为观察组 ,在宫口开大 2～ 4cm时给予脊硬联合麻醉 ,并与同期条件相似 ,未用任何镇痛方法的 192例产妇进行对照 ,两组比较对胎儿、新生儿的影响。结果 :两组胎儿宫内窘迫发生率无显著性差异 (P >0 0 5 ) ,观察组新生儿窒息发生率 ,与对照组相比明显下降 ,差异有极显著性 (P <0 0 5 )。结论 :脊硬联合麻醉用于产科分娩镇痛 ,对胎儿、新生儿无不良影响。

Objective:To disscuss the effect on the newborn in pain free labour by combined analgesia of spinal cord and epidura Method:Observation group(A) 192 cases primipara accepted combined analgesia of cord and epidura when ureterine orificeis is 2～4cm,control group without any analgesia Result:There is no significant difference in inclidence of fetal intrauterine distress between observation group and control group(P>0 05),but suffocation rate of the new born significantly lower in observation group(P<0 05) Conclusion:There is no negative effect on fetus and the newborn when we use pain free labour by combined analgesia of spinal cord and epidura