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[分娩与产科镇痛的经验]

[Experience of labor and obstetrical analgesia].

作者信息

Munch F, Gauthier-Lafaye J, Jacquetin J, Gauthier-Lafaye J P

出版信息

Ann Anesthesiol Fr. 1978;19(4):254-8.

PMID:28049
Abstract

A prospective study was undertaken at Strasbourg of the assessment of the patients of the techniques used by the obstetric team and of the general atmosphere in which labour and delivery took place. A questionnair of 115 items was analysed by computer using a Pastis-Pascal programme (see attached). The first results, concerning the analysis of 100 cases and taking into account approximately ten variables, gave the following findings: -the intolerable pain factor is related to the period of dilatation; -the analgesic or amnesic factor in the mother influences the satisfaction she experiences in relation to her child; -demand for epidural anaesthesia appeared the same, whether the woman had been prepared by a psychoprophylactic method or not; -psychoprophylactic preparation would not appear to influence the assessment of pain; -women having an epidural anaesthetic never considered their labour to have been intolerable. Discriminant analysis with study of correlations is not possible at present. Given the number of variables to be considered, the population analysed is inadequate. A multicentre study would improve the performance of this research. Our questionnaire is available to any teams who might wish to use it.

摘要

在斯特拉斯堡进行了一项前瞻性研究,旨在评估产科团队所采用的技术以及分娩发生时的整体氛围对患者的影响。使用Pastis - Pascal程序通过计算机对一份包含115个项目的问卷进行了分析(见附件)。关于100例病例的分析以及考虑约十个变量后的初步结果如下:——难以忍受的疼痛因素与扩张期有关;——母亲的镇痛或遗忘因素会影响她对孩子体验到的满意度;——无论女性是否接受过心理预防法准备,硬膜外麻醉的需求似乎相同;——心理预防法准备似乎不会影响对疼痛的评估;——接受硬膜外麻醉的女性从未认为她们的分娩难以忍受。目前无法进行相关性研究的判别分析。鉴于要考虑的变量数量,所分析的人群并不充足。多中心研究将提高这项研究的效能。我们的问卷可供任何可能希望使用它的团队使用。

相似文献

1
[Experience of labor and obstetrical analgesia].[分娩与产科镇痛的经验]
Ann Anesthesiol Fr. 1978;19(4):254-8.
2
[Obstetrical peridural anesthesia with bupivacaine and buprenorphine. A randomized double-blind study in comparison with untreated controls].[布比卡因与丁丙诺啡用于产科硬膜外麻醉。与未治疗对照组相比的随机双盲研究]
Anaesthesist. 1992 Jul;41(7):414-22.
3
[Opinion of mothers on continuous peridural obstetrical anesthesia].[母亲对连续硬膜外产科麻醉的看法]
Reg Anaesth. 1987 Jul;10(3):77-81.
4
[Psychoprophylactic and analgesic preparation during normal delivery].[正常分娩期间的心理预防和镇痛制剂]
Rev Prat. 1975 Jan 11;25(3):201-8.
5
[Hyperthermia after obstetrical epidural anesthesia].[产科硬膜外麻醉后体温过高]
Cah Anesthesiol. 1994;42(2):257-60.
6
[Labor under peridural anesthesia. Experience at the Maternity Center of the Amiens CHRU].[硬膜外麻醉下分娩。亚眠大学中心医院妇产科中心的经验]
Rev Fr Gynecol Obstet. 1990 Dec;85(12):689-91.
7
[Evaluation of epidural analgesia. Analysis of a prospective questionnaire answered by 100 women who delivered with epidural analgesia].[硬膜外镇痛的评估。对100名接受硬膜外镇痛分娩的女性所回答的前瞻性调查问卷的分析]
J Gynecol Obstet Biol Reprod (Paris). 1991;20(2):273-8.
8
Effects of epidural anesthesia on labor progress.
Pain Manag Nurs. 2008 Mar;9(1):10-6. doi: 10.1016/j.pmn.2007.09.003.
9
Risk factors for failure to extend labor epidural analgesia to epidural anesthesia for Cesarean section.分娩硬膜外镇痛未能扩展至剖宫产硬膜外麻醉的危险因素。
Acta Anaesthesiol Scand. 2006 Aug;50(7):793-7. doi: 10.1111/j.1399-6576.2006.01083.x.
10
Labour is still painful after prepared childbirth training.经过分娩准备训练后,分娩仍然很痛苦。
Can Med Assoc J. 1981 Aug 15;125(4):357-63.