足月产婴儿分娩过渡期脑区域性氧饱和度：选择性剖宫产与阴道分娩的比较。

Regional oxygen saturation of the brain during birth transition of term infants: comparison between elective cesarean and vaginal deliveries.

机构信息

Research Unit for Cerebral Development and Oximetry, Division of Neonatology, Department of Pediatrics, Medical University of Graz, Austria.

出版信息

J Pediatr. 2011 Sep;159(3):404-8. doi: 10.1016/j.jpeds.2011.02.030. Epub 2011 Apr 9.

DOI:10.1016/j.jpeds.2011.02.030

PMID:21481417

Abstract

OBJECTIVE

To evaluate differences in regional oxygen saturation of the brains of term infants of vaginal or cesarean deliveries.

STUDY DESIGN

Vaginal delivery (n = 63) and elective cesarean delivery infants were prospectively evaluated for the first 10 minutes after delivery. Peripheral arterial oxygen saturation (SpO(2)) and heart rate were measured on the right hand using pulsoximetry with near infrared spectroscopy. Regional oxygen saturation of the brain (rSO(2)brain) was measured. Fractional tissue oxygen extraction was calculated for each minute.

RESULTS

From 4 to 8 minutes, SpO(2) values for cesarean delivery infants were significantly lower than for vaginally delivered infants. Heart rate of the cesarean delivery infants was significantly lower throughout the whole observation period. There was no difference between groups in rSO(2)brain. Fractional tissue oxygen extraction only differed at minute 10.

CONCLUSIONS

Although SpO(2) and heart rate were significantly lower in cesarean-delivered infants, there were no differences in rSO(2)brain with respect to mode of delivery.

摘要