摘要
分娩镇痛已成为大多数发达国家的主要公共卫生健康事业之一,椎管内分娩镇痛是目前公认的成熟、有效技术。随着近年来我国分娩镇痛的大范围开展,椎管内分娩镇痛相关问题也引起广泛争议,如硬膜外镇痛相关的发热问题,椎管内分娩镇痛对第二产程持续时间、剖宫产率及器械助产的影响,是否存在对母亲和围生儿的潜在不良影响等。截至目前,大多数研究认为有效的椎管内分娩镇痛与第二产程延长相关,从而增加新生儿并发症的相对风险以及器械助产率。多项研究支持硬膜外分娩镇痛与产妇临床发热有关。但椎管内分娩镇痛可能降低产妇产后抑郁症的发生率。因此,这一领域未来的发展将继续对妇女儿童健康产生重大影响。
Labor analgesia has become one of the major public health undertakings in most developed countries.Intrathecal analgesia is a mature and effective technique.Our country in recent years,with the scope of labor analgesia,the related problems of intraspinal labor analgesia have also been widely debated,such as fever,the influence of epidural analgesia on the second labor duration,the influence of the cesarean section rate and instruments midwifery,and potential adverse effect on the mother and baby.Until now,most studies suggest effective labor analgesia is associated with the pro-longation of second stage of labor,thereby increasing the relative risk of neonatal complications and equipment rate of midwifery.A number of studies support the epidural labor analgesia associated with maternal clinical fever.But labor analgesia can reduce the incidence of maternal postpartum depression.Therefore,the future development of this field will continue to have a significant impact on women and children health.
作者
马四光
王建波(审校)
MA Si-guang;WANG Jian-bo(Tianjin Central Hospital of Gynecology Obstetrics,Tianjin Key Laboratory of Human Development and Reproductive Regulation,Tianjin 300100,China)
出处
《国际妇产科学杂志》
CAS
2020年第3期267-271,共5页
Journal of International Obstetrics and Gynecology
关键词
麻醉
麻醉
产科
麻醉和镇痛
麻醉
脊椎
产程
第二
Anesthesia
Anesthesia,obstetrical
Anesthesia and analgesia
Anesthesia,spinal
Labor stage,second
