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[电镇痛对分娩过程中产程及镇痛的调控作用]

[Regulation of labor and analgesia during childbirth by electroanalgesia].

作者信息

Persianinov L S

出版信息

Zentralbl Gynakol. 1977;99(16):961-70.

PMID:919872
Abstract

A new method of electroanalgesia is based on the use of pulse currents of high frequency (150 to above 750 Hz), with the mean current intensity of 1 to 2mA in the course of the session. The electrodes are applied in the frontal area (bifurcated catode) and the neck under the mastoid processes (bifurcated anode). Electroanalgesia was successfully employed in 360 cases to prepare pregnant patients for labour, regulate abnormal uterine activity and anaesthesize labour. Electroanalgesia accelerates cervical dilatation, eliminates discoordinated uterine activity by restoring the triple descending gradient of uterine contractions, and reduces labour duration. The parturient no longer exhibits vegetative shifts developing under the impact of emotional stress when the balance between sympathetic and parasympathetic links of the vegetative nervous system is disordered, and the pulse, arterial pressure and respiration get stabilized. The labour is painless, which favourably tells on the maternal and fetal condition.

摘要

一种新的电镇痛方法基于使用高频(150至750Hz以上)脉冲电流,在治疗过程中平均电流强度为1至2mA。电极置于额叶区域(分叉阴极)和乳突下方的颈部(分叉阳极)。电镇痛已成功应用于360例孕妇,用于分娩准备、调节异常子宫活动和分娩麻醉。电镇痛可加速宫颈扩张,通过恢复子宫收缩的三重下降梯度消除不协调的子宫活动,并缩短产程。当自主神经系统交感和副交感联系之间的平衡失调,脉搏、动脉压和呼吸不稳定时,产妇不再表现出在情绪应激影响下出现的自主神经变化。分娩无痛,这对母婴状况有积极影响。

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