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现代分娩期椎管内麻醉

Modern Neuraxial Anesthesia for Labor and Delivery.

作者信息

Meng Marie-Louise, Smiley Richard

机构信息

Department of Anesthesiology, Columbia University Medical Center, New York, NY, USA.

出版信息

F1000Res. 2017 Jul 25;6:1211. doi: 10.12688/f1000research.11130.1. eCollection 2017.

DOI:10.12688/f1000research.11130.1
PMID:28781763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5531153/
Abstract

The availability of safe, effective analgesia during labor has become an expectation for women in most of the developed world over the past two or three decades. More than 60% of women in the United States now receive some kind of neuraxial procedure during labor. This article is a brief review of the advantages and techniques of neuraxial labor analgesia along with the recent advances and controversies in the field of labor analgesia. For the most part, we have aimed the discussion at the non-anesthesiologist to give other practitioners a sense of the state of the art and science of labor analgesia in the second decade of the 21st century.

摘要

在过去二三十年里,在分娩期间可获得安全、有效的镇痛已成为大多数发达国家女性的一种期望。现在,美国超过60%的女性在分娩期间接受某种形式的神经轴阻滞操作。本文简要回顾了分娩期神经轴阻滞镇痛的优势和技术,以及分娩镇痛领域的最新进展和争议。在很大程度上,我们的讨论对象是非麻醉医生,目的是让其他从业者了解21世纪第二个十年分娩镇痛的技术和科学现状。

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2
Dural Puncture Epidural Technique Improves Labor Analgesia Quality With Fewer Side Effects Compared With Epidural and Combined Spinal Epidural Techniques: A Randomized Clinical Trial.与硬膜外麻醉和腰麻-硬膜外联合麻醉技术相比,硬膜穿刺硬膜外技术可提高分娩镇痛质量且副作用更少:一项随机临床试验。
Anesth Analg. 2017 Feb;124(2):560-569. doi: 10.1213/ANE.0000000000001798.
3
Effects of Epidural Labor Analgesia With Low Concentrations of Local Anesthetics on Obstetric Outcomes: A Systematic Review and Meta-analysis of Randomized Controlled Trials.低浓度局麻药硬膜外分娩镇痛对产科结局的影响:一项随机对照试验的系统评价和荟萃分析
Anesth Analg. 2017 May;124(5):1571-1580. doi: 10.1213/ANE.0000000000001709.
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Anesth Analg. 2017 Feb;124(2):537-541. doi: 10.1213/ANE.0000000000001655.
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A Survey of Intravenous Remifentanil Use for Labor Analgesia at Academic Medical Centers in the United States.美国学术医疗中心静脉注射瑞芬太尼用于分娩镇痛的调查。
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