CAJ | 학술논문

硬膜外分娩镇痛对分娩的影响一直存在争议.新近资料不仅提供了硬膜外分娩镇痛对产程、剖宫产率、阴道器械助产率、及新生儿影响的进展,而且它与持续性枕后位和产妇发烧的关系也受到关注.改进硬膜外分娩镇痛技术的关键是减小对分娩不利影响并保证产妇满意镇痛的重要手段.研究表明采用低浓度局麻药复合阿片类药硬膜外镇痛,设置大容量PCEA和长锁定时间的输注模式对分娩的影响最小.
경막외분면진통대분면적영향일직존재쟁의.신근자료불부제공료경막외분면진통대산정、부궁산솔、음도기계조산솔、급신생인영향적진전,이차타여지속성침후위화산부발소적관계야수도관주.개진경막외분면진통기술적관건시감소대분면불리영향병보증산부만의진통적중요수단.연구표명채용저농도국마약복합아편류약경막외진통,설치대용량PCEA화장쇄정시간적수주모식대분면적영향최소.
Controversy has suspended about the influence of epidural analgesia on labour in past years. Recent literatures provide new findings not only about its influeuee on labour stages, the incidence of instrumental and operative delivery, and neonate safety, but also about its relation with fetal head position at delivery, and maternal pyrexia. To avoid mstoward effects on delivery and ensure sarisfactory analgesia during labor are the key points of success of labor analgesia. Studies show that patient-controlled epidural analgesia with a lower concentration of anesthetic, a higher bolus volume and a longer lockout interval had minimal influence on labour.