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分娩期间减轻疼痛的电子医疗方法(作者译)

[Electromedical methods for pain reduction during delivery (author's transl)].

作者信息

Kubista E, Kucera H

出版信息

Zentralbl Gynakol. 1980;102(13):715-23.

PMID:6969502
Abstract

The authors of this paper interviewed 200 pregnant women and another 200 patients on their own maternity ward to find out about their views and wishes regarding pain reducing procedures during delivery, with or without reduced consciousness in the course of labour. Only 13 per cent of them wanted to sleep during delivery, while almost 90 per cent insisted on being kept fully alert and on playing an active role in childbirth.--Yet, there has been growing demand for analgetic treatment among maternity ward patients, which, obviously, has been attributable to birth trauma. For example, the percentage of women who asked for peridural anaesthesia grew from 36 ante-partum to 64 post-partum.--The replies given by the patients then were related by the authors to the results of transcutaneous nerve stimulation (TNS) and cerebral electric stimulation (CES). Both methods had good effects on more than 50 per cent of the cases and partial effects on 25 to 30 per cent.--The authors feel that those no-risk simple methods should give good results in most cases in terms of less labour pain with full consciousness. Other methods, with higher risk, might be reserved for patients on whom simple methods fail.

摘要

本文作者采访了200名孕妇以及自家产科病房的另外200名患者,以了解她们对于分娩期间减轻疼痛措施的看法和愿望,无论这些措施是否会在分娩过程中导致意识减退。其中只有13%的人希望在分娩时睡觉,而近90%的人坚持要保持完全清醒,并在分娩过程中发挥积极作用。然而,产科病房患者对镇痛治疗的需求一直在增加,这显然是由于分娩创伤所致。例如,要求硬膜外麻醉的女性比例从产前的36%上升到了产后的64%。作者随后将患者的回答与经皮神经刺激(TNS)和脑电刺激(CES)的结果联系起来。这两种方法在超过50%的病例中效果良好,在25%至30%的病例中有部分效果。作者认为,那些低风险的简单方法在大多数情况下应该能在患者完全清醒的状态下减轻分娩疼痛并取得良好效果。其他风险较高的方法可能留给那些简单方法无效的患者。

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