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目的:探讨全身麻醉对剖宫产手术娩出新生儿的影响,寻求不适于椎管麻醉产妇的最佳麻醉方式。方法:选择2008年2月至2013年6月在我院行剖宫产手术的92例产妇作为研究对象,按照麻醉方式不同分为观察组和对照组,每组46例。观察组用全身麻醉,对照组用硬膜外阻滞麻醉;比较两组产妇手术时间,两组新生儿1、5 min Apgar评分,两组新生儿出生后30 min动脉血气分析指标及出生后1、3、5 d神经行为评分。结果:观察组手术时间(36.5±6.7)min,对照组手术时间(38.4±7.2)min,两组比较差异无统计学意义(P>0.05)。两组新生儿出生后1、5 min Apgar评分均在正常范围,组间比较差异均无统计学意义(均P>0.05)。两组新生儿出生后30 min动脉血气分析各项指标均在正常范围,组间比较差异无统计学意义(P>0.05)。两组新生儿出生后1、3、5 d神经行为评分逐渐增加,各时间点组间比较差异无统计学意义(P>0.05)。结论:全身麻醉和椎管麻醉均适用于剖宫产手术。全身麻醉不会对新生儿的安全产生影响,可用于不适用椎管内麻醉的产妇。
Objective: To investigate the effect of general anesthesia on cesarean delivery of newborns, to find the best way of anesthesia for spinal anesthesia maternal. Methods: 92 maternal women who underwent cesarean section in our hospital from February 2008 to June 2013 were selected as the study subjects and divided into observation group and control group according to different anesthesia methods, with 46 cases in each group. The observation group was treated with general anesthesia and the control group with epidural anesthesia. The time of maternal operation was compared between two groups. The Apgar scores of neonates at 1 and 5 min were compared between the two groups. Arterial blood gas analysis and postnatal 1 , 3,5 d neurobehavioral score. Results: The operation time in the observation group was (36.5 ± 6.7) min and in the control group (38.4 ± 7.2) min, there was no significant difference between the two groups (P> 0.05). The Apgar scores at 1 and 5 min after birth in both groups were in the normal range, with no significant difference between the two groups (all P> 0.05). The indexes of arterial blood gas analysis within 30 min after birth in both groups were within the normal range, with no significant difference between the two groups (P> 0.05). Neurobehavioral scores of the two newborns increased gradually at 1, 3 and 5 days after birth, and there was no significant difference between the two groups (P> 0.05). Conclusion: Both general anesthesia and spinal anesthesia are suitable for cesarean section. General anesthesia does not affect the safety of newborns, can be used for non-spinal anesthesia maternal.