椎管内阻滞分娩镇痛可致产程延长？  

Can the spinal and epidural blocking labor analgesia lead to prolonged labor?

作　　者：胡志强 黄霞 周芬芬 钱箫羽 

机构地区：[1]上海市东方医院吉安医院麻醉科,江西吉安343100 [2]上海市东方医院吉安医院妇产科,江西吉安343100 [3]中央军委政治工作部门诊部,北京100011

出　　处：《医学争鸣》2018年第1期25-27,共3页Negative

摘　　要：高剖宫产率已成为我国非常严重的公共卫生问题,部分原因是产妇不能忍受分娩过程中的剧烈疼痛而选择剖宫产尽快结束分娩。分娩镇痛是现代文明发展的标志,分娩镇痛致产程延长还是缩短,说法不一,这与阻滞技术和过程管理有关。椎管内阻滞分娩镇痛应用低浓度局部麻醉药,分娩过程精确管理,正确应用缩宫素和适合分娩镇痛的助产技术,则不影响或可缩短产程。The high cesarean section rate has become a serious public health problem, in part because the pregnant women can＇ t bear the severe pain during childbirth and choose caesarean section as soon as possible. Labor analgesia is a symbol of modem civilization development. There are different views about whether labor analgesia leads to prolonged or shortened labor. We think it is related to block technique and process management. If low concentration of local anesthetic, precise management, proper use of oxytocin and suitable midwife technique are applied in the labor analgesia of intraspinal block, the labor analgesia would not affect or even shorten the labor.

关 键 词：剖宫产率 椎管内阻滞 分娩镇痛 产程延长 产程缩短 

分 类 号：R714[医药卫生—妇产科学]