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产后氧化用于产痛和短期新生儿结果之间的关联
Anabel Starosta1, Lisbet Lundsberg, Jennifer Culhane
1Department of Obstetrics, Gynecology & Reproductive Sciences, Yale School of Medicine, New Haven, Connecticut; and the Department of Obstetrics & Gynecology, Weill Cornell Medical College, New York, New York.
Obstetrics and gynecology
|March 14, 2024
概括
产妇在分娩期间使用产内氧化与新生儿重症监护室 (NICU) 入院风险降低有关,但在低风险患者中增加了超白血的风险. 其他短期新生儿结局没有显著差异.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿医学 新生儿医学
- 麻醉学 麻醉学
背景情况:
- 对于劳动的个人来说,产后止痛的选择是多样化的.
- 氧化是一种在分娩期间使用的吸入止痛药.
- 了解它对新生儿结果的影响对于明智的决策至关重要.
研究的目的:
- 评估产妇产内使用氧化与短期新生儿不良结果之间的关联.
- 为了比较新生儿在接受氧化和在分娩期间没有止痛药的人的新生儿结果.
主要方法:
- 35周以上单子妊娠的回顾性队列研究.
- 包括没有接受止痛药或仅接受氧化的患者.
- 从电子医疗记录中提取数据;分析初级结果 (NICU入院) 和二级结果.
主要成果:
- 氧化的使用与NICU入院的可能性较低相关 (6.4% vs 8.1%).
- 氧化的使用与新生儿高 bilirubinemia (aOR 1.23) 的可能性增加有关.
- 没有发现与阿普加尔评分,呼吸综合结果或低血糖症有显著的关联.
结论:
- 在低风险患者中,产妇内氧化的使用与NICU入院的减少,但增加了超白血症有关.
- 其他短期新生儿结局没有显著差异.
- 调查结果可以为患者的咨询提供有关氧化用于分娩止痛的信息.
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