中国全科医学 ›› 2020, Vol. 23 ›› Issue (10): 1318-1322.DOI: 10.12114/j.issn.1007-9572.2019.00.606

• 专题研究 • 上一篇    下一篇

不同分娩镇痛方式对妊娠结局影响的研究进展

付秋鹏1,何银芳2*,高连峰2,张宇虹2   

  1. 1.030001山西省太原市,山西医科大学第一临床医学院 2.030001山西省太原市,山西医科大学第一医院产科
    *通信作者:何银芳,主任医师,硕士生导师;E-mail:yfh681016@126.com
  • 出版日期:2020-04-05 发布日期:2020-04-05

Impact of Labor Analgesia on Labor Outcomes:Recent Advances 

FU Qiupeng1,HE Yinfang2*,GAO Lianfeng2,ZHANG Yuhong2   

  1. 1.School of the First Clinical Medical,Shanxi Medical University,Taiyuan 030001,China
    2.Department of Obstetrics,the First Affiliated Hospital of Shanxi Medical University,Taiyuan 030001,China
    *Corresponding author:HE Yinfang,Chief physician,Master supervisor;E-mail:yfh681016@126.com
  • Published:2020-04-05 Online:2020-04-05

摘要: 分娩疼痛是造成剖宫产率升高和不良妊娠结局的重要原因之一,而这种疼痛通过干预是可以控制的,分娩镇痛是现行最有效的方法,可维护母婴安全、缓解分娩疼痛、促进自然分娩。现行分娩镇痛方式多种多样,非药物性镇痛的不良反应少但镇痛效果有待证实,药物性镇痛具有一定镇痛效果但存在一定不良反应,现有研究建议非药物与药物分娩镇痛联合使用。药物分娩镇痛中,硬膜外麻醉的镇痛效果确切,镇痛时间灵活,但技术要求高、成本大,对母婴结局影响尚存争议。目前,国内分娩镇痛率远低于其他国家,需加强宣传、推广及发展。

关键词: 分娩疼痛;镇痛, 产科;妊娠结局;剖宫产术;综述

Abstract: Labor pain is a major cause for increased cesarean section rate and adverse pregnancy outcomes,but it can be controlled by interventions,among which labor analgesia is the most effective.Besides,it can also maintain maternal and infant safety and promote natural childbirth.In various labor analgesic methods,non-pharmacological analgesia produces less adverse reactions,but the analgesic effect remains to be confirmed.Drug-induced analgesia can relieve the labor pain,but with certain adverse reactions.So there are studies recommend the combination use of both drug- and non-drug-induced analgesia.Among different forms of drug-induced analgesia,epidural analgesia has a definite analgesic effect and a more flexible analgesic time,but requiring higher level of technique and costing more,with some controversies about the impact on maternal and neonatal outcomes.At present,the prevalence of domestic labor analgesia is far lower than that in foreign countries,wherefore it is necessary to strengthen the publicity,promotion and development of labor analgesia in China.

Key words: Labor pain;Analgesia, obstetrical;Pregnancy outcome;Cesarean section;Review