| 摘要: |
| ［摘要］ 椎管内分娩镇痛是目前国内外公认的有效的分娩镇痛技术，然而，其对产程是否存在不利影响，目前仍有争议。寻找更优化的分娩镇痛方案，为产妇提供更安全、有效的镇痛，仍然是临床麻醉医师努力的方向。该文回顾了近年来椎管内分娩镇痛对产程影响的相关临床研究，重点围绕着椎管内分娩镇痛的方式、给药浓度、给药时机以及给药模式等方面阐述其对产程的影响，并探讨椎管内分娩镇痛影响产程的可能机制,为进一步开展椎管内分娩镇痛相关研究提供参考。 |
| 关键词: 分娩镇痛 产程 硬膜外麻醉 疼痛 |
| DOI：10.3969/j.issn.1674-3806.2021.02.21 |
| 分类号:R 614 |
| 基金项目:中华国际医学交流基金会项目（编号：Z-2018-35-1903） |
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| Research progress in the effect of spinal and epidural labor analgesia on birth process |
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JIA Li, CHEN Dai-li,LI Yuan-tao
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Department of Anesthesiology, Shenzhen Maternity ＆ Child Healthcare Hospital Affiliated to Southern Medical University, Shenzhen 518000, China
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| Abstract: |
| ［Abstract］ Spinal and epidural labor analgesia is currently recognized as an effective technique for labor analgesia and is widely accepted. However, whether it has an adverse effect on the birth process remains controversial. Searching for a more optimized protocol to provide safer and more effective analgesia for parturients is still the goal of anesthesiologists. In this paper, we review the recent related clinical studies on the effect of spinal and epidural labor analgesia on birth process and mainly elaborate the impacts of different spinal and epidural labor analgesia techniques, drug concentrations, timing of administration and drug delivery modes on birth process. Besides, we explore the possible mechanism of how spinal and epidural labor analgesia affects the birth process so as to provide a reference for further related researches on spinal and epidural labor analgesia. |
| Key words: Labor analgesia Birth process Epidural anesthesia Pain |
