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目的 :针对腰硬联合麻醉下剖宫产手术中融入体位干预对新生儿的影响探析。方法 :随机选取医院在2013年11月-2014年12月进行剖宫产手术的正常足月妊娠产妇100例作为研究对象,并将其分为对照组40例和干预组60例,给予对照组患者麻醉后平卧手术进行分娩;干预组则在麻醉后与手术台分娩胎儿娩出后的一分钟到五分钟之间抽取脐动脉血一毫升进行动脉血气分析检查,同时对两组胎儿分娩后的一分钟到五分钟之间进行评估和计算Apgar评分。结果显示:干预组不管是在脐动脉的PH值还是Pao2都显著优于对照组,而BE及Paco2的值明显低于对照组,新生儿在一分钟至五分钟之间的Apgar评分在4-7及8-10分之间对比,干预组的分数显著高于对照组。结论 :在手术中融入体位干预能够有效改善新生儿的血气分析结果以及Apgar评分,具有很好的效果。
Objective: To investigate the effect of intervening body position intervention on neonates during cesarean section under combined spinal and epidural anesthesia. Methods: A total of 100 normal term pregnant women who underwent cesarean section from November 2013 to December 2014 in our hospital were randomly selected as the study subjects, which were divided into control group (40 cases) and intervention group (60 cases). The control group Patients underwent anesthesia after supine surgery for childbirth; intervention group after anesthesia and operation table childbirth one to five minutes after the delivery of umbilical arterial blood to take a milliliter for arterial blood gas analysis, while the two groups after childbirth Evaluate and calculate Apgar scores from one minute to five minutes. The results showed that the intervention group either in the umbilical artery PH value or Pao2 were significantly better than the control group, and BE and Paco2 values were significantly lower than the control group, neonatal Apgar score between 1 minute and 5 minutes in the 4- 7 and 8-10 points, the intervention group scores were significantly higher than the control group. Conclusion: The intervention of body position in operation can effectively improve the results of neonatal blood gas analysis and Apgar score, with good results.