腰硬联合麻醉与气管插管全身麻醉对剖宫产手术新生儿呼吸的影响

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Abstract ObjectiveTo analyze the influence of combined spinal-epidural anesthesia and tracheal intubation general anesthesia on neonatal breathing in cesarean section surgery.Methods90 cases of cesarean section surgery in our hospital from September 2015 to January 2017 were selected and randomly divided into the combined spinal-epidural anesthesia group and the general anesthesia group,45 cases in each group.The general anesthesia group was given tracheal intubation general anesthesia.the combined spinal-epidural anesthesia group was given combined spinal-epidural anesthesia.The ratio of neonatal chest compression,assisted respiration and drug resuscitation,the time of cesarean section,the time from skin incision to the time of taking out the fetus,and the first breath time of the newborn,the score of neonatal Apgar at 1,5,10 min after birth,neonatal umbilical artery blood gas analysis index were compared between the two groups.ResultsThere was no significant difference in the ratio of chest compression,assisted respiration and drug resuscitation in neonates between the two groups (P＞0.05).There was no significant difference in the neonatal Apgar scores at 5 and 10 min after birth between the two groups(P＞0.05).The neonatal Apgar score at 1 min after birth in the combined spinal-epidural anesthesia group was higher than that in the general anesthesia group,with significant difference(P＜0.05).There was no significant difference in the time of cesarean section,the time from skin incision to the time of taking out the fetus between the two groups(P＞0.05).The first breath time of the newborn in the combined spinalepidural anesthesia group was shorter than that in the general anesthesia group,with significant difference(P＜0.05).There was no significant difference in the neonatal umbilical artery blood gas analysis index between the two groups(P＞0.05).ConclusionThe influence of combined spinal-epidural anesthesia and tracheal intubation general anesthesia on the neonatal respiratory in cesarean section surgery is different,the influence of combined spinal-epidural anesthesia on neonatal breathing in cesarean section surgery is less,which can shorten the first breathing time and improve the birth immediate children with Apgar score,reduce drug recovery and assisted breathing applications,it is worth promoting.

Key words： Combined spinal-epidural anesthesia Tracheal intubation General anesthesia Cesarean section surgery Neonatal breathing

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	HUANG Min
	OU Shao-mei
	DENG Mei-fang

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HUANG Min,OU Shao-mei,DENG Mei-fang. Influence of combined spinal-epidural anesthesia and tracheal intubation general anesthesia on neonatal breathing in cesarean section surgery[J]. 中国当代医药, 2017, 24(18): 47-49.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I18/47

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