Greenwood P A, Lilford R J
Br J Obstet Gynaecol. 1986 Mar;93(3):260-3. doi: 10.1111/j.1471-0528.1986.tb07904.x.
One of the arguments used in favour of epidural analgesia for hypertensive patients in labour is its effect on mean arterial blood pressure, although the fetal and maternal risk from hypertension is more closely linked to maximum recorded levels. We have therefore assessed the effect of epidural analgesia on maximum blood pressure. There was no change in the maximum systolic or diastolic blood pressure after epidural analgesia when compared to baseline values or levels in untreated hypertensive controls. We conclude that this form of analgesia should be offered to hypertensive patients purely for its analgesic effect and not as a method for blood pressure control.
支持对分娩期高血压患者采用硬膜外镇痛的一个论据是其对平均动脉血压的影响，尽管高血压对胎儿和母亲的风险与记录到的最高血压水平联系更为紧密。因此，我们评估了硬膜外镇痛对最高血压的影响。与基线值或未治疗的高血压对照组的血压水平相比，硬膜外镇痛后收缩压或舒张压的最高值没有变化。我们得出结论，这种镇痛方式应仅因其镇痛效果而提供给高血压患者，而非作为控制血压的方法。
