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目的:探讨使用椎管内麻醉进行分娩镇痛对新生儿的远期影响。方法:2004年11月~2005年12月在保定市第一中心医院足月阴道分娩的儿童共640例,选择分娩镇痛组105例和非镇痛分娩组116例,对其进行适应行为评定及韦氏智力测验,调查所得结果进行分析比较。所有数据采用Excel软件进行录入,应用SPSS 17.0软件包进行统计分析,计数资料采用χ2检验,计量资料采用t检验。结果:两组儿童适应行为量表评定及韦氏智力测验结果比较差异均无统计学意义(P>0.05)。结论:分娩镇痛对新生儿远期社会适应能力和智力无明显影响,椎管内麻醉用于分娩镇痛是安全的,可以广泛应用于临床。
Objective: To investigate the long-term impact of labor analgesia on neonates using spinal anesthesia. Methods: From November 2004 to December 2005, 640 children with term vaginal delivery in the First Central Hospital of Baoding were enrolled in this study. 105 cases of labor analgesia group and 116 cases of non-analgesia childbirth group were selected to evaluate their adaptive behavior And Wechsler Intelligence Test, the survey results were analyzed and compared. All data were entered by Excel software, SPSS 17.0 software package was used for statistical analysis, count data using χ2 test, measurement data using t test. Results: There was no significant difference between the two groups in the assessment of children’s adaptive behavior scale and the Wechsler Intelligence Test (P> 0.05). Conclusion: Labor analgesia has no obvious effect on the future social adaptability and intelligence of neonates. Spinal anesthesia is safe for labor analgesia and can be widely used in clinic.