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|本期目录/Table of Contents|

分娩镇痛是否越早越好?

《医学争鸣》[ISSN:1000-2790/CN:61-1060/R]

期数:
2018年03期
页码:
19-21
栏目:
学术争鸣
出版日期:
2018-06-30

文章信息/Info

Title:
Labor analgesia: the sooner, the better?
作者:
陈求珠1石秀凤1林明影1钱箫羽2
1海南省三亚市妇幼保健院,海南 三亚 572000;2中央军委政治工作部门诊部,北京 100011
Author(s):
CHEN Qiuzhu1 SHI Xiufeng1 LIN Mingying1 QIAN Xiaoyu2
1Sanya Municipal Maternity and Child Health Care Hospital, Sanya 572000, China; 2Clinic, Political Work Department of
关键词:
分娩镇痛无痛分娩中国行椎管内分娩镇痛
Keywords:
labor analgesia No Pain Labor & Delivery in China neuraxial labor analgesia
分类号:
R714
DOI:
10.13276/j.issn.1674-8913.2018.03.006
文献标识码:
A
摘要:
“无痛分娩中国行”为2006年由美国西北大学发起的公益性医疗活动,以推行安全有效的椎管内分娩 镇痛,从而改变中国剖宫产率高及分娩镇痛率低的现状,提高产妇、胎儿和新生儿的安全性。因此,分娩镇痛是 否越早越好?对此,有人提出产程早期运用椎管内分娩镇痛会延长产程,增加剖宫产率和产钳率。同时,胎儿在 用了“麻药”后一定有不良反应。为此,我们通过观察第一产程潜伏期与活跃期起采用椎管内分娩镇痛对产妇分 娩结局的影响,结果提示分娩镇痛并非越早越好,建议从活跃期开始。
Abstract:
“No Pain Labor & Delivery in China” is a not-for-profit medical activity launched by the Northwestern University of America in 2006. The program focuses on correcting the unnecessary high cesarean delivery rate and improving the poor utilization of neuraxial labor analgesia in China, as well as improving the maternal, fetal and neonatal safety. Therefore, is the sooner the labor analgesia, the better? Hereto, it was proposed that the early use of neuraxial labor analgesia would prolong the labor and increase cesarean delivery rate and forceps delivery rate, and that, the fetus must have an adverse reaction after the use of “anesthetic”. To find out the truth, we observed the effect of neuraxial labor analgesia on the outcome of childbirth during the incubation and active periods of the first stage of labor, and the results suggested that the analgesia of childbirth should rather than start from the active period.

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备注/Memo

备注/Memo:
通信作者:钱箫羽。Tel:13521282610,E-mail:qianxiaoyu@126.com 作者简介:陈求珠。本科,主管护师。研究方向:妇产科临床护理。Tel:13876208621,E-mail:chenqiuzhu1122@163.com
更新日期/Last Update: 2018-06-30