全身麻醉对剖宫产产妇分娩新生儿的影响分析

李文锋

（西电集团医院，陕西 西安，710077）

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摘要：

目的 探讨在剖宫产术中应用全身麻醉对分娩新生儿的影响。方法 选择2014年2月至2016年3月在本院行剖宫产术分娩的76例产妇，随机将其分为对照组和观察组，各38例。观察组产妇行全身麻醉下剖宫产术，对照组产妇行硬膜外阻滞下剖宫产术，观察两组新生儿娩出后桡动脉血气分析结果，同时评估两组新生儿神经行为评分（NBNA），并监测两组产妇及新生儿不良反应发生情况。结果 观察组新生儿桡动脉血气分析结果（pH、PaCO₂、PaO₂、SpO₂、Hct）与对照组比较，差异无统计学意义（P>0.05）；观察组和对照组新生儿NBNA总评分［（39.25±1.14）vs.（38.87±1.69）］、麻醉不良反应发生率（21.05% vs. 26.32%）比较，差异均无统计学意义（P>0.05）。结论 全身麻醉对剖宫产产妇分娩新生儿血气分析指标无明显影响，未见安全性负性影响。

关键词：剖宫产术；全身麻醉；新生儿；麻醉安全性

中图分类号：R614文献标志码：A文章编号：2096-1413(2017)12-0121-03

Impact study of general anesthesia for cesarean delivery on the new born
LI Wen-feng
(Xi an XD Group Hospital, Xi an 710077, China)

ABSTRACT: Objective To investigate the effect of general anesthesia for cesarean delivery on the newborn. Methods Seventy-six women with cesarean delivery in our hospital from February 2014 to March 2016 were selected and randomly divided into control group and observation group, with 38 cases in each group. The observation group accepted general anesthesia under caesarean birth operation, while the control group accepted epidural anesthesia under caesarean birth operation, then the radial artery blood gas analysis results of newborn after delivery between the two groups were observed, the neonatal behavioral neurological assessment (NBNA) were compared between the two groups, as well as the maternal and neonatal adverse reactions were evaluated between the two groups. Results The differences of radial artery blood gas analysis results (pH value, PaCO₂, PaO₂, SpO₂ and Hct) between the two groups had no significant difference (P>0.05); the differences of NBNA total scores （[39.25±1.14）vs（.38.87±1.69）] and the incidence rates of anesthesia adverse reaction（21.05% vs. 26.32%）between the observation group and the control group has no significant difference (P >0.05).Conclusion General anesthesia has no significant adverse effect on the blood gas analysis index on the newborn infants during cesarean section, and with no safety negative effect found.
KEYWORDS: cesarean section; general anesthesia; the newborn; anesthesia safety

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