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目的观察体位干预对腰硬联合麻醉下剖宫产手术新生儿的影响。方法选择2012年10月～2013年10月行剖宫产术的正常足月妊娠产妇120例,对照组54例麻醉后平卧手术分娩;干预组66例麻醉后于手术台分娩。胎儿娩出后立即抽取脐动脉血1ml行动脉血气分析检查;并分别于娩出后1min及5min进行评估及计算Apgar评分。结果干预组脐动脉的PH值和PaO2高于对照组,干预组的BE和PaCO2低于对照组。新生儿1min及5min的Apgar评分在4～7分及8～10分者比较,干预组高于对照组。结论体位干预可明显改善新生儿的血气分析结果及Apgar评分。
Objective To observe the effect of postural intervention on neonatal cesarean section under combined spinal and epidural anesthesia. Methods 120 cases of normal full-term pregnant women who underwent caesarean section from October 2012 to October 2013 were selected. 54 cases in the control group were delivered by supine operation after anesthesia. 66 cases in the intervention group were delivered on the operating table after anesthesia. Umbilical artery immediately after fetus was taken 1ml arterial blood gas analysis of examination; and 1min and 5min after delivery were evaluated and calculated Apgar score. Results The umbilical artery of the intervention group PH value and PaO2 higher than the control group, intervention group BE and PaCO2 lower than the control group. Neonates 1min and 5min Apgar score in the 4 to 7 and 8 to 10 were compared, the intervention group was higher than the control group. Conclusion Position intervention can obviously improve neonatal blood gas analysis results and Apgar scores.