剖宫产术中母体出现低血压对新生儿窒息的影响

目的观察剖宫产术中低血压对新生儿的影响。方法选取本院2009年9月——2011年9月住院的非宫内窘迫因素而是因疤痕子宫或胎位异常足月妊娠行剖宫产的病例170例,麻醉方式均采用连续硬膜外麻醉,根据麻醉记录单中的血压情况进行分组,术中出现低血压组85例为A组。术中未出现低血压者85例为B组,观察两组新生儿出生时窒息率。结果 A组新生儿发生重度窒息发生率为16.5%,B组新生儿发生重度窒息发生率为4.7%,两组差异有统计学意义（P〈0.05）。结论剖宫产术中母体出现血压降低,会造成新生儿发生窒息的可能性增大。

The influence of the newborn of intraoperative maternal hypotension in cesarean section

Objective To observe the influence of the newborn of intraoperative maternal hypotension in cesarean section. Methods 170 patients of cesarean section without the factors of fetal distress were divided into two groups（intraoperative hypotension group and non-intraoperative hypotension group）by the record of anaesthesia. Observed the morbidity of neonatal asphyxia in two groups. Results The rate of neonatal severe asphyxia in A group was 16.5%.The rate of neonatal severe asphyxia in B group was 4.7%.Difference has statistics meaning（P〈0.05）. Conclusion The occurrence of intraoperative maternal hypotension in cesarean section increases the rate of neonatal severe asphyxia.