分娩镇痛的临床应用

Clinical Application of Labor Analgesia

分娩镇痛是每一位产妇、胎儿的权力,是向传统观念"分娩必痛"发起的挑战,是社会文明程度的标志之一。理想的分娩镇痛必需具备的特点是对婴儿影响小、起效快、作用可靠、满足整个产程使产妇真正享受到的需要;避免运动阻滞,不影响宫缩和产妇运动;产妇清醒,可参与整个生产过程。通过对导乐分娩、经皮穴位电刺激、笑气吸入、地西泮联合间苯三酚、椎管内给药等,多种药物、非药物镇痛方法 ,给药途径、作用机制以及疗效的探讨,更有利于指导临床,同时也有利于分娩镇痛技术的不断提高和完善。起到消除或缓解产妇分娩痛苦作用,从而提高自然分娩率,达到降低剖宫产率的目的 。

Labor analgesia is the right of every lying-in woman and fetus,is the challenge initiated to the traditional concept ＂ labor must be combined with pain ＂,and is one of the hallmarks of social civilization.The ideal labor analgesia is characterized by its little influence,quick and reliable effect,satisfied whole labor process,avoidance of movement retardation,no influence on Uterine contractions and maternal movement,lying-in woman with sober consciousness and being able to join in the whole labor process.It is more beneficial for instructing clinics and is also beneficial for continuously improving and perfecting labor analgesia technique simultaneously through discussing Doula labor,percutaneous point galvanic stimulation,nitrous oxide inhalation,diazepam joint Phloroglucinol,intraspinal drug delivery and so on,a variety of drugs,non-pharmacological analgesic methods,routes of administration,action mechanisms and efficacy.Labor analgesia plays a role in eliminating or alleviating the labor pains of lying-in women,thereby improving the natural birth rate and achieving the purpose of lowering cesarean section rate.