Babaev V A, Medvinskiĭ I D
Anesteziol Reanimatol. 1997 Nov-Dec(6):18-20.
The authors analyze early neonatal morbidity in 87 preterm babies and the values of perinatal mortality of newborns born to mothers whose labor was anesthesized by different methods. The task of this study was to assess the effect of long epidural anesthesia (LEA) used for preterm labor pain relief on the survival of small-for-date babies. Standard anesthesia of labor is compared to LEA. LEA ensured adequate analgesia and stable hemodynamics; moreover, it protected the intrauterine fetus from hypoxic injuries to the central nervous system due to normalization of uterine contractility and uteroplacental bloodflow and relaxation of the muscles of the fundus of the uterus.
作者分析了87例早产儿的早期新生儿发病率以及采用不同方法进行分娩麻醉的母亲所生新生儿的围产期死亡率。本研究的任务是评估用于缓解早产疼痛的长效硬膜外麻醉（LEA）对小样儿存活的影响。将标准分娩麻醉与LEA进行比较。LEA确保了充分的镇痛和稳定的血流动力学；此外，由于子宫收缩力和子宫胎盘血流的正常化以及子宫底肌肉的松弛，它保护了宫内胎儿免受中枢神经系统的缺氧损伤。
