[生理性分娩：心理预防或硬膜外镇痛。对内分泌反应的影响]

[Eutopic parturition: psychoprophylaxis or extradural analgesia. Influence on the endocrine response].

作者信息

Carrasco M S, Iglesias J, Freire J, Martín M L, Marín Santana A, Cobo I, García Rendón A

出版信息

Rev Esp Anestesiol Reanim. 1989 Jul-Aug;36(4):195-7.

Abstract

Prolactin, ACTH, cortisol and HGH levels have been studied on 30 pregnant women in three different periods: during the labour, at the delivery and 24 hours later. They were divided into 3 groups depending on the analgesia: I) no analgesia (n = 10); II) psychoprophylaxis (n = 10), and III) extradural analgesia (n = 10). Prolactin levels increased during delivery and 24 hours later. A significant increase of ACTH levels (p less than 0.01) was observed during the delivery in the 3 groups even though they were under hasal values 24 hours later. Cortisol increased 38% (p less than 0.01) and 52% (p less than 0.02) in II and III groups, respectively during the delivery. No difference was found with HGH. Our results suggest that endocrine response modified by labour and delivery doesn't change with different analgesia techniques.

摘要

对30名孕妇在三个不同时期的催乳素、促肾上腺皮质激素、皮质醇和生长激素水平进行了研究：分娩期间、分娩时和24小时后。根据镇痛方式将她们分为3组：I）无镇痛（n = 10）；II）精神预防性镇痛（n = 10）；III）硬膜外镇痛（n = 10）。分娩期间和24小时后催乳素水平升高。尽管三组在24小时后的基础值较低，但在分娩期间促肾上腺皮质激素水平均显著升高（p < 0.01）。II组和III组在分娩期间皮质醇分别升高38%（p < 0.01）和52%（p < 0.02）。生长激素未发现差异。我们的结果表明，分娩和生产所改变的内分泌反应不会因不同的镇痛技术而改变。