分娩镇痛进展(医学课件).pptVIP

分娩镇痛进展 天津医科大学总医院 王国林 2006-4 合肥 1847年苏格兰产科医生Simpson J给分娩产妇吸入乙醚以缓解疼痛，得出的印象是药物可以缓解分娩痛，但同时要关注其副作用，包括对子宫收缩、腹部肌张力以及对胎儿的影响 Epidural analgesia in labour is used by about 100?000 women in Britain each year 理想的分娩镇痛 dramatically reduce the pain of labour, while allowing the parturient to actively participate in the birthing experience. In addition, it should have minimal effect on the fetus or the progress of labour Regional analgesia for labour spinal opiates and combined spinal-epidural (CSE) analgesia patient controlled epidural analgesia continuous spinal analgesia neuraxial blockade (epidur