分娩镇痛的现状和临床应用.pdfVIP

The Problems and strategies The Problems and strategies about labor analgesia in China about labor analgesia in China Beijing Obstetrics and Gynecology Hospital Capital Medical University Xu MingJun snake650222@163.com How much pain during the delivery? How much pain during the delivery? How much pain during the How much pain during the delivery? delivery? 50%intense ( 2 0 % severe →→→cry) 35%medium medium 15% a little 1 Bonica JJ，Chadw ick HS. Labour Pain. In:Wall PD，Melzack. eds. Testbook of pain，2 nd edn. New York: Churchill Livingstone ， 1996.482-499. mechanism in pain of labor mechanism in pain of labor The fourth stage the third stage splanchnodynia→→body splanchnodynia →→ the second stage the first stage History and Actualities of History and Actualities of labor analgesia labor analgesia 1846.10：Morton → ether anesthesia →morden 1847.1：Simpson → ether labor analgesia 1853:Snow J，1857.38 years old Queen Victoria →→Prince Beatrice ； 1880.Klikovicz:N2O ； 1939.Dolantin ； 1938，American Graffagnino and Seyler →Epidural; 1979,Revil ； 1988,PCEA ； History and Actualities of History and Actualities of labor analgesia labor analgesia American—— 85% labor analgesia，10%- 20% Cesarean section 。 England——98% labor analgesia 。 1999,18.5% Cesarean section 。 Canada：19% Cesarean section 。 Japan ：7.3% Cesarean section 。 China:1% labor analgesia ，46% Cesarean section 。 WHO:sparkplug the Cesarean section should been controlled 15％。 Methods of labor analgesia Met