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目的:观察采用全身麻醉的方法进行剖宫产对新生儿的影响。方法:对2009年4月至2010年10月我院收治的186例足月妊娠产妇行剖宫产的情况进行观察研究。在为这些产妇进行剖宫产的过程中,按照血小板计数的数值将其分为对照组和观察组(每组各93例产妇),为对照组产妇进行硬膜外麻醉,为观察组产妇进行全身麻醉,检查两组产妇产下新生儿的脐血PH、血氧分压和二氧化碳分压指数,并比较两组新生儿出生后的窒息率和死亡率。结果:两组新生儿的脐血PH及脐动脉、脐静脉PaCO2和PaO2指数均无明显差异,无统计学意义(P>0.05)。对照组新生儿发生窒息的几率为6%,明显低于观察组新生儿发生窒息的几率(54.2%),差异极明显,有统计学意义(P<0.05)。两组新生儿无一例死亡。结论:在为产妇进行剖宫产的过程中采用常规的全身麻醉方法,对新生儿的健康无明显影响。我们应结合产妇的身体条件,为其选择恰当的手术方法。
Objective: To observe the effects of cesarean section on neonates by general anesthesia. Methods: From April 2009 to October 2010 in our hospital admitted 186 cases of full-term pregnancy cesarean section were observed and studied. During cesarean delivery for these mothers, they were divided into control and observation groups (93 maternal per group) according to platelet count values, and epidural anesthesia was given to maternal women in the control group for the observation group Under general anesthesia, the umbilical blood PH, partial pressure of oxygen and partial pressure of carbon dioxide of the newborns of the two groups were examined. Asphyxia and mortality after birth were compared between the two groups. Results: There was no significant difference in cord blood PH, umbilical artery PaCO2 and PaO2 between the two groups (P> 0.05). The incidence of neonatal asphyxia in the control group was 6%, which was significantly lower than that in the observation group (54.2%). The difference was statistically significant (P <0.05). No deaths occurred in both groups of newborns. CONCLUSIONS: The use of conventional general anesthesia in cesarean delivery for mothers has no significant effect on the health of newborns. We should combine maternal physical conditions, to choose the appropriate surgical methods.