| 三种不同麻醉方法对宫内窘迫剖宫产新生儿的Apgar评分、SpO_2和脐血血气的影响 |
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| 引用本文： | 侯立仁,周文科,魏俊飞,连芳.三种不同麻醉方法对宫内窘迫剖宫产新生儿的Apgar评分、SpO_2和脐血血气的影响[J].中国民康医学,1998(4). |
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| 作者姓名： | 侯立仁 周文科 魏俊飞 连芳 |
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| 作者单位： | 新乡医学院一附院麻醉科!453100，河南省荣康医院外科!453003，河南省荣康医院外科!453003 |
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| 摘 要： | 目的：观察三种不同麻醉方法对胎儿宫内窘迫剖立产新生儿的Apgar评分、SPO2和脐血血气的影响．方法：选择30例足月妊娠、单胎、胎儿宫内窘迫，拟行剖它产的产妇．随机分三组（备10例）．A组连续硬膜外麻醉；B组用氯胺酮麻醉，C组局部逐层浸润麻醉．结果：B组1min、5min的新生儿Apgar评分显著低于A、C组（P<0.05，<0.01）．新生儿5min的SpO2低于A、C组（P＜0．05）．B组脐动脉血SaO2和静脉血PH值、BE值低于A、C组（P＜0．05）．A、C两组间结果相似．结论：胎儿立内窘迫剖宫产时，不宜使用氯胺酮麻醉，应首选硬膜外麻醉．
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| 关 键 词： | 麻醉方法 宫内窘迫 剖宫产 Apgar评分 SpO_2 除血血气分析 |
Effect of Three Anesthetization on Apgar Mark,SpO_2 and Blood Gas of Cesarean Neonate with Intrauterine Distress |
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| By Hou Li-ren,et.al.Effect of Three Anesthetization on Apgar Mark,SpO_2 and Blood Gas of Cesarean Neonate with Intrauterine Distress[J].medical journal of chinese peoples health,1998(4). |
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| Authors: | By Hou Li-ren etal |
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| Abstract: | To observe the effect of three different methods of anesthetization on Apgar mark,SpO2,and blood gas of cesarean neonate who had intrauterine distress. Method 30 parturients with termpregnancy,monocyesis and fetal intrauterine distresswho planned to accept cesarean section were randomly divided into group A,B and C,and given continuous peridural anesthesia, ketamine anesthesiaand local infiltration anesthesia respectively. ResultsThe results showed that the neonatal Apgar mark ofl minute,5 minutes of group B were markedly lowerthan that of group A and C (P<0.05,<0. 01),and the SpO2, of 5 minutes of group B was lowerthan that of group A and C (P
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| Keywords: | anesthesia fetal intrauterine distress cesarean section Apgar mark SpO_2 cord blood gas |
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