Department of Anesthesiology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Clin Perinatol. 2013 Sep;40(3):373-84. doi: 10.1016/j.clp.2013.05.010. Epub 2013 Jul 4.
The rapid onset of analgesia and improved mobility with combined spinal-epidural (CSE) techniques has been associated with a higher degree of maternal satisfaction compared with conventional epidural analgesia. However, controversy exists in that initiation of labor analgesia with a CSE may be associated with an increased risk for nonreassuring fetal status (ie, fetal bradycardia) and a subsequent need for emergent cesarean delivery. Overall, both epidural and CSE techniques possess unique risk/benefit profiles, and the decision to use one technique rather than the other should be determined based on individual patient and clinical circumstances.
与传统硬膜外镇痛相比，联合使用脊麻-硬膜外（CSE）技术可快速缓解疼痛并提高产妇活动能力，从而使产妇更加满意。然而，目前仍存在争议，即使用 CSE 进行分娩镇痛可能会增加胎儿状况不佳（即胎儿心动过缓）的风险，并随后需要紧急剖宫产。总体而言，硬膜外和 CSE 技术都具有独特的风险/获益特征，应根据患者个体和临床情况决定使用哪种技术。
