分娩镇痛是否越早越好?  

Labor analgesia: the sooner, the better?

作　　者：陈求珠 石秀凤[1] 林明影 钱箫羽 CHEN Qiuzhu;SHI Xiufeng;LIN Mingying;QIAN Xiaoyu(Sanya Municipal Maternity and Child Health Care Hospital, Sanya 572000, China;Clinic, Political Work Department of People＇s Republic of China Central Military Commission, Beijing 100011, China)

机构地区：[1]海南省三亚市妇幼保健院,海南三亚572000 [2]中央军委政治工作部门诊部,北京100011

出　　处：《医学争鸣》2018年第3期19-21,共3页Negative

摘　　要："无痛分娩中国行"为2006年由美国西北大学发起的公益性医疗活动,以推行安全有效的椎管内分娩镇痛,从而改变中国剖宫产率高及分娩镇痛率低的现状,提高产妇、胎儿和新生儿的安全性。因此,分娩镇痛是否越早越好?对此,有人提出产程早期运用椎管内分娩镇痛会延长产程,增加剖宫产率和产钳率。同时,胎儿在用了"麻药"后一定有不良反应。为此,我们通过观察第一产程潜伏期与活跃期起采用椎管内分娩镇痛对产妇分娩结局的影响,结果提示分娩镇痛并非越早越好,建议从活跃期开始。“No Pain Labor ＆ Delivery in China” is a not-for-profit medical activity launched by the Northwestern University of America in 2006. The program focuses on correcting the unnecessary high cesarean delivery rate and improving the poor utilization of neuraxial labor analgesia in China, as well as improving the maternal, fetal and neonatal safety. Therefore, is the sooner the labor analgesia, the better？ Hereto, it was proposed that the early use of neuraxial labor analgesia would prolong the labor and increase cesarean delivery rate and forceps delivery rate, and that, the fetus must have an adverse reaction after the use of “anesthetic”. To find out the truth, we observed the effect of neuraxial labor analgesia on the outcome of childbirth during the incubation and active periods of the first stage of labor, and the results suggested that the analgesia of childbirth should rather than start from the active period.

关 键 词：分娩镇痛 无痛分娩中国行 椎管内分娩镇痛 

分 类 号：R714[医药卫生—妇产科学]