椎管内阻滞分娩镇痛的研究进展  

Progress in epidural or spinal analgesia for labor pain

作　　者：黄绍强[1] 

机构地区：[1]复旦大学附属妇产科医院麻醉科,上海200011

出　　处：《复旦学报（医学版）》2007年第4期630-634,共5页Fudan University Journal of Medical Sciences

摘　　要：椎管内阻滞是目前普遍应用的一种分娩镇痛方式,综述近年来椎管内阻滞分娩镇痛的研究进展,包括:病人自控硬膜外镇痛给药模式的优化、腰麻-硬膜外联合阻滞镇痛、对新局麻药的评价、椎管内联合使用的其他辅助药物、可行走的镇痛对分娩的影响、镇痛开始及终止的时机、不良反应或潜在的风险。Eqidural analgesia （including combined spinal-epidural analgesia） is now widely used as a form of pain relief in labor. This paper reviewed the research progress in epidural or spinal labor analgesia, including optimizing of administration mode for patient control epidural analgesia（PCEA）, combined spinal-epidural analgesia（CSEA）, evaluation of new local anesthetics, other drugs injected into epidural or subarachnoid space, effects of ambulation analgesia on labor, opportunity of initiation and discontinuation of analgesia, adverse effects or potential risk.

关 键 词：分娩 硬膜外镇痛 腰麻硬膜外联合阻滞 

分 类 号：R714.3[医药卫生—妇产科学]