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目的：观察三种不同麻醉方法对胎儿宫内窘迫剖立产新生儿的Apgar评分、SPO2和脐血血气的影响．方法：选择30例足月妊娠、单胎、胎儿宫内窘迫，拟行剖它产的产妇．随机分三组（备10例）．A组连续硬膜外麻醉；B组用氯胺酮麻醉，C组局部逐层浸润麻醉．结果：B组1min、5min的新生儿Apgar评分显著低于A、C组（P<0.05，<0.01）．新生儿5min的SpO2低于A、C组（P＜0．05）．B组脐动脉血SaO2和静脉血PH值、BE值低于A、C组（P＜0．05）．A、C两组间结果相似．结论：胎儿立内窘迫剖宫产时，不宜使用氯胺酮麻醉，应首选硬膜外麻醉．
Objective: To observe the effects of three different anesthesia methods on neonatal Apgar score, SPO2 and cord blood in neonates with fetal distress. Methods: 30 cases of term pregnancy, single fetus and fetal distress were selected. Randomly divided into three groups (10 cases). A group of continuous epidural anesthesia; B group with ketamine anesthesia, C group by local anesthesia. Results: Apgar score of neonates in group B at 1 min and 5 min was significantly lower than that of group A and C (P <0.05, <0.01). SpO2 of newborn 5min was lower than that of A and C (P <0.05). In group B, the arterial blood SaO2 and venous blood PH values and BE values were lower than those in A and C groups (P <0.05). The results were similar between groups A and C Conclusion: Fetal distraction cesarean section should not use ketamine anesthesia, epidural anesthesia should be preferred.