腰硬联合麻醉的无痛分娩对新生儿的远期影响

Long-term effect of painless labor using spinal-epidural anesthesia on neonates

目的探讨无痛分娩对新生儿的远期智力和行为能力的影响。方法回顾性分析在该院采用椎管内麻醉行无痛分娩80例孕妇为研究对象,同期分娩的80例非无痛分娩的孕妇为对照组,对娩出儿童进行智力及行为能力的测试,测试结果比较,差异无统计学意义(P=0.051)。结果两组新生儿性别、身高、出生体重、Apgar评分比较,差异无统计学意义(P>0.05)。两组儿童行为量表比较及各主题评分比较,差异均无统计学意义(P>0.05)。结论腰硬联合麻醉可以减轻分娩的疼痛,对新生儿的远期智力及行为能力无不良影响,降低了剖宫产率,值得推广。

Objective To explore the effect of painless labor on long- term intelligence and behavioral competence of neonates. Methods Eighty pregnant women receiving painless labor using spinal anesthesia in the hospital were selected as study group,while 80 pregnant women receiving painless labor during the same period were selected as control group. Results There was no statistically significant difference in intelligence and behavioral competence of neonates between the two groups（ P = 0. 051）. There was no statistically significant difference in neonatal gender,height,birth weight,Apgar score,and the scores of Child Behavior Checklist between the two groups（ P〈0. 05）. Conclusion Spinal- epidural anesthesia can relieve the pain of childbirth,which has no adverse impact on neonatal long- term intelligence and behavioral competence; spinal- epidural anesthesia reduces the rate of cesarean section,which is worthy of promotion.