椎管内阻滞分娩镇痛的临床进展  

Clinical Progress of Spinal Block for Labor Analgesia

作　　者：劳诚毅[1] 马迪[1] 全伟斌[1] 杨威[1] 苏烨[1] 刘珍玉[1] 

机构地区：[1]南宁市妇幼保健院麻醉科,南宁530011

出　　处：《医学综述》2018年第3期571-575,580,共6页Medical Recapitulate

基　　金：南宁市科学研究与技术开发计划(20173017-7)

摘　　要：分娩疼痛作为孕妇的一个生理存在,长时间剧烈的疼痛可引起孕妇较为强烈的内分泌反应,体内儿茶酚胺增高会引起子宫胎盘血流下降,子宫受体激活及宫缩减弱等不良后果。随着人们生活质量的提高,分娩镇痛作为现代文明产科的标志,在分娩过程中要求镇痛已成为趋势。分娩镇痛的方法多样,目前椎管内阻滞分娩镇痛是全世界公认最有效的方法,其具有镇痛效果好、改善胎盘血流、减少代谢紊乱、产妇满意度高等优点。Childbirth pain is a physiological existence of pregnant women,and long severe pain can cause intensive endocrine response of the pregnant women. The increase of catecholamine in the body can cause uterine placenta blood flow decline,uterine receptor activation and uterine contraction and other adverse consequences. With the improvement of people＇s quality of life,labor analgesia as a sign of modern civilized obstetrics,analgesia requirement in the process of childbirth has become a trend. The methods of labor analgesia are various. At present,intrathecal block labor analgesia is the most effective method acknowledged in the world. It has the advantages of good analgesic effect,improvement of placental blood flow,reduction of metabolic disorder and high maternal satisfaction.

关 键 词：椎管内阻滞 分娩镇痛 常用药物 

分 类 号：R614.4[医药卫生—麻醉学]