一项针对第三世界环境中重度子痫前期妇女剖宫产结局的回顾性研究。
A retrospective study of the outcome of cesarean section for women with severe pre-eclampsia in a third world setting.
作者信息
Ajuzieogu Obinna V, Ezike Humphrey Azubuike, Amucheazi Adaobi Obianuju, Enwereji Jamike
机构信息
Department of Anaesthesia, University of Nigeria Teaching Hospital, Enugu, Nigeria.
出版信息
Saudi J Anaesth. 2011 Jan;5(1):15-8. doi: 10.4103/1658-354X.76480.
OBJECTIVE
To compare the outcome of subarachnoid block (spinal anesthesia) and general anesthesia in Cesarean delivery for women with severe pre-eclampsia.
METHODS
A retrospective study of women with severe pre-eclampsia requiring Cesarean section from January 2005 to June 2009 was carried out. Maternal age, parity, gestational age at delivery, booking status, Apgar scores, maternal and perinatal mortality of the sub-arachnoid block group were compared with those of general anesthesia group using χ(2), Student t-test and Fischer exact test.
RESULTS
There were no significant difference between the two groups in overall maternal mortality (5.4% vs. 11.9%, P=0.5) and perinatal mortality (2.7% vs. 11.9%, P=0.15). The general anesthesia group had significantly more birth asphyxia than the spinal group (55.9% vs. 27.0%, P=0.0006).
CONCLUSION
There was no significant difference in the maternal and perinatal mortality outcome of cesarean delivery between women with severe pre-eclampsia who had regional anesthesia and those that had general anesthesia. There was significantly higher proportion of birth asphyxia in babies of women who received general anesthesia.
目的
比较重度子痫前期产妇剖宫产蛛网膜下腔阻滞（脊髓麻醉）与全身麻醉的效果。
方法
对2005年1月至2009年6月期间行剖宫产的重度子痫前期产妇进行回顾性研究。采用χ²检验、Student t检验和Fischer精确检验，比较蛛网膜下腔阻滞组与全身麻醉组产妇的年龄、产次、分娩孕周、预约情况、Apgar评分、孕产妇及围产儿死亡率。
结果
两组产妇的总体死亡率（5.4%对11.9%，P = 0.5）和围产儿死亡率（2.7%对11.9%，P = 0.15）无显著差异。全身麻醉组的新生儿窒息发生率显著高于脊髓麻醉组（55.9%对27.0%，P = 0.0006）。
结论
重度子痫前期产妇剖宫产采用区域麻醉与全身麻醉，其孕产妇及围产儿死亡率结局无显著差异。全身麻醉产妇的新生儿窒息发生率显著更高。
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