摘要: |
椎管内阻滞是目前应用最为广泛、安全有效的分娩镇痛方法,近期的技术进展如硬脊膜穿破硬膜外穿刺技术、程控间歇硬膜外脉冲给药技术、超声辅助定位和硬膜外导管改良等使其有效性和安全性不断得以改善;同时一些热点问题也不断涌现,如分娩镇痛对哺乳、产后抑郁、母体发热和产科结局的影响等。引起了人们的广泛关注。基于近期国内外对椎管内分娩镇痛的相关临床研究,本文对该领域的技术进展和热点问题作一概述。 |
关键词: 椎管内阻滞 分娩镇痛 疼痛 |
DOI:10.16118/j.1008-0392.2020.06.001 |
投稿时间:2020-07-22 |
基金项目:上海市科学技术委员会医学引导类项目(19401930500);上海市浦东新区医联体项目(PDYLT201901-2) |
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Technical progress and hotpoints of neuraxial labor analgesia |
LIU Zhi-qiang |
(Dept. of Anesthesiology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai 201204, China) |
Abstract: |
The use of analgesia techniques for labor has become increasingly frequent, with neuraxial techniques being the most commonly used and most effective. This review is focused on the following hot topics of neuraxial techniques: technical advances(dural puncture epidural, programmed intermittent epidural bolus, ultrasound-assisted location, novel epidural catheter) and safety concerns on maternal and neonatal outcomes(breastfeeding, maternal fever, postpartum depression, obstetric outcomes) to provide practical considerations in neuraxial labor analgesia. |
Key words: neuraxial block labor analgesia pain |