无痛分娩对新生儿近期和远期的影响

目的：探讨采用椎管内麻醉行无痛分娩对新生儿的近期及远期社会适应能力的影响。方法选择阴道分娩的足月单胎妊娠产妇221例，其中采用椎管内麻醉行无痛分娩105例为无痛分娩组，不采取分娩镇痛措施者116例为非无痛分娩组。所有新生儿进行Apgar评分和脐动脉血pH检测。新生儿进行随访，当其7岁时进行适应行为量表评分并进行比较。结果2组新生儿Apgar评分及脐动脉血pH比较差异无统计学意义（P〉0.05）；无痛分娩组适应行为量表总评分为192.67±13.53，非无痛分娩组为196.31±14.32，2组比较差异无统计学意义（P〉0.05）。结论椎管内麻醉用于无痛分娩对新生儿近期及远期社会适应能力无明显影响，临床可广泛推广。

Study on the short and long term effects of newborn with painless labor

Objective To investigate the effects of spinal anesthesia for painless labor on the short-term and long-term social adaptability of newborn. Methods 221 full-term pregnant women with vaginal delivery were included in our study. Patients were allocated to receive spinal anesthesia for painless labor （n=105, painless labor group）or no analgesia labor （n=116, non painless labor group）. The neonatal Apgar score and umbilical artery blood pH detection were done in all newborns. And they were followed up when they were 7 years old. Adaptive behavior scale were obtained and compared. Results There were no signiifcant differences in neonatal Apgar score and umbilical artery blood pH between the two groups （P〉0.05）. Total scores of Adaptive Behavior Scale were 192.67±13.53 in painless labor group, and 196.31±14.32 in non painless labor group, there was no significant differences between the two groups （P〉0.05）. Conclusion Spinal anesthesia for painless labor has no significant effect on neonatal short-term and long-term social adaptation ability, which can be widely distributed in clinical practice.