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湖北医学院附属第二医院麻醉科
纸质出版日期:1986
移动端阅览
刘颖涛, 石兰珍, 黄望莲, 等. 针麻与药麻剖腹产手术对新生儿神经功能影响的比较[J]. 针刺研究, 1986,(1):33-35.
NEONATAL NEUROBEHAVIORAL RESPONSES AFTER ACUPUNCTURE AND GENBRAL ANESTHESIA FOR CESAREAN SECTION[J]. Acupuncture research, 1986, (1): 33-35.
针麻作为剖腹产手术的麻醉方法
具有术中平稳
麻醉效果好的优点。据报道:剖腹产新生儿死亡率为20.73‰
其死亡时间集中在出生第一小时。因此剖腹产手术的麻醉选择
除注意母体安全外
也应注意对胎儿的呼吸、循环及神经功能的影响。针刺麻醉对于新生儿神经功能的影响至今尚未报道。本文按Apgar评分方法
对382例剖腹产新生儿按麻醉方法分为三组进行比较
证明了针麻对新生儿神经功能的影响较小。
382 newborn infants studied were divided into three groups. 128 infants were delivered under acupuncture anesthesia and 125 infants under general anesthesia. They were compared with a group of 129 infants delivered under local anesthesia as a control. The neurobehavioral examination involved an assessment of various reflexes
muscle tone and power
heart rate
respiration and colour of skin. These items were scored according to Apgar and the data were evaluated to ridit analysis. It showed that infants delivered under acupuncture ane- sthesia were free from the depression of the neonatal neurobehaviar were Acupuncture anesthesia can be used locally as local anesthesia in obstetric operations. In general anesthesia group
the neonatal scares were less than those of both local and acupuncture anesthesia groups
there was signifi- cant differences as compared with the above two groups.
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