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分娩时的硬膜外麻醉。益处与风险

Epidural anesthesia in labor. Benefits versus risks.

作者信息

King T

机构信息

University of California, San Francisco 94143-0346, USA.

出版信息

J Nurse Midwifery. 1997 Sep-Oct;42(5):377-88. doi: 10.1016/s0091-2182(97)00052-9.

DOI:10.1016/s0091-2182(97)00052-9
PMID:9358699
Abstract

Epidural anesthesia is used for relief of labor pain by 29% of women having hospital deliveries in the United States, a number that has doubled within the past 10 years. Although epidurals provide objective pain relief that is exponentially better than the other pain relief methods, there are many purported complications and side effects. This article reviews how epidurals work, summarizes the literature regarding complications, and presents some of the ethical dilemmas inherent in the use of this technology for labor.

摘要

在美国,29% 的产妇在医院分娩时会使用硬膜外麻醉来减轻分娩疼痛,这一数字在过去 10 年中翻了一番。尽管硬膜外麻醉能提供比其他止痛方法好得多的客观止痛效果,但仍有许多所谓的并发症和副作用。本文回顾了硬膜外麻醉的作用原理,总结了有关并发症的文献,并提出了使用该技术进行分娩时所固有的一些伦理困境。

相似文献

1
Epidural anesthesia in labor. Benefits versus risks.分娩时的硬膜外麻醉。益处与风险
J Nurse Midwifery. 1997 Sep-Oct;42(5):377-88. doi: 10.1016/s0091-2182(97)00052-9.
2
Avoiding the pitfalls of epidural anesthesia in obstetrics.避免产科硬膜外麻醉的陷阱。
AANA J. 1989 Jun;57(3):220-30.
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Maternal anesthesia: what are the effects on neonates?
Nurs Womens Health. 2007 Oct;11(5):499-502. doi: 10.1111/j.1751-486X.2007.00225.x.
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Epidural anesthesia for obstetric patients.
JOGN Nurs. 1981 Jan-Feb;10(1):9-15. doi: 10.1111/j.1552-6909.1981.tb00626.x.
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Epidurals in the UK: practice and complications over 80 years.英国的硬膜外麻醉:80 多年来的实践与并发症
Anaesthesia. 2021 Mar;76(3):414-416. doi: 10.1111/anae.15397. Epub 2021 Feb 1.
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[Course of labor in a primipara under the effect of epidural analgesia; the need for labor stimulation].[初产妇在硬膜外镇痛作用下的产程;引产的必要性]
Katilolehti. 1986 Dec;91(8):318-23.
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Obstetrical epidural anaesthesia in a rural Canadian hospital.加拿大农村医院的产科硬膜外麻醉
Can J Anaesth. 1992 Apr;39(4):390-3. doi: 10.1007/BF03009052.
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Epidurals redefined in analgesia and anesthesia: a distinction with a difference.
J Obstet Gynecol Neonatal Nurs. 1996 May;25(4):350-4. doi: 10.1111/j.1552-6909.1996.tb02581.x.
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Epidural analgesia during labor.分娩期间的硬膜外镇痛
Clin Obstet Gynecol. 1999 Dec;42(4):785-801. doi: 10.1097/00003081-199912000-00007.
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[Delivery with epidural anesthesia (I)].[硬膜外麻醉下分娩(I)]
Rev Enferm. 1992 Apr;15(164):57-63.

引用本文的文献

1
Developing the TeamOBS-vacuum-assisted delivery checklist to assess clinical performance in a vacuum-assisted delivery: a Delphi study with initial validation.制定TeamOBS真空辅助分娩检查表以评估真空辅助分娩的临床性能:一项初步验证的德尔菲研究。
Front Med (Lausanne). 2024 Feb 2;11:1330443. doi: 10.3389/fmed.2024.1330443. eCollection 2024.
2
The AEDUCATE Collaboration. Comprehensive antenatal education birth preparation programmes to reduce the rates of caesarean section in nulliparous women. Protocol for an individual participant data prospective meta-analysis.AEDUCATE协作组。全面的产前教育分娩准备计划以降低初产妇剖宫产率。个体参与者数据前瞻性荟萃分析方案。
BMJ Open. 2020 Sep 23;10(9):e037175. doi: 10.1136/bmjopen-2020-037175.
3
Complementary therapies for labour and birth study: a randomised controlled trial of antenatal integrative medicine for pain management in labour.分娩与产时辅助疗法研究:一项关于产前综合医学用于分娩疼痛管理的随机对照试验
BMJ Open. 2016 Jul 12;6(7):e010691. doi: 10.1136/bmjopen-2015-010691.
4
Exploring Women's Preferences for Labor Epidural Analgesia.探索女性对分娩硬膜外镇痛的偏好。
J Perinat Educ. 2003 Spring;12(2):16-21. doi: 10.1624/105812403X106793.