水中分娩发展现状及临床研究.docVIP

水中分娩发展现状及临床研究 　　[摘要] 随着现代医学和产科的不断发展，人们不断探索新的产时服务模式，以减轻分娩的痛苦，提高自然分娩率。水中分娩是指在产妇分娩发动以后，使其浸入特制的分娩池或浴盆中，采用非药物性减轻产妇在整个分娩过程中的疼痛，在水中待产或分娩。据近期研究表明，产妇在水中分娩给予的镇痛剂和催产素也相应地较传统分娩用量少，从而达到减轻镇痛、促进宫缩、缩短产程的作用。本文从水中分娩的发展历史、临床应用、安全风险分析和应用前景进行了回顾，希望水中分娩这项技术在能给国妇产科领域的开展起到借鉴作用。 　　[关键词] 水中分娩；发展现状；研究 　　[中图分类号] R714.3 [文献标识码] A [文章编号] 1673-7210（2012）01（b）-014-03 　　 　　Development and clinical research of wassergeburt 　　NIU Minggang1(proofreader) YANG Min2 LIU Chunrui2 ZHANG Leting2 GU Na3 (review) 　　1.Heilongjiang Home Maternity Hospital, Heilongjiang Province, Harbin 150040, China; 2.Depatment of Obstetrics and Gynecology, the First Affiliated Hospital of Heilongjian University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China; 3.Depatment of Obstetrics and Gynecology, Heilongjiang Provincial Forestry General Hospital, Heilongjiang Province, Harbin 150040, China 　　[Abstract] As constant development and progression of modern medicine and obstetrics, the new delivery service mode has been greatly developed in order to release the puerperal pain and improve the natural labor rate. Wassergeburt means that puerpera is taken in the special pool or hot tub after launch of maternal delivery, using non drug treatment to alleviate the pain of puerperal in the birthing process. According to recent research shows that puerpera delivery in water is given Oxytocin and Analgesic less than traditional delivery usage, so as to reduce pain, promote uterine contraction, shorten the role of the birth process. The history, clinical application, safety risk analysis and the application prospect of wassergeburt are reviewed in this article, and make the technology of wassergeburt used for reference in the field of Chinese gynecology and obstetrics. 　　[Key words] Wassergeburt; Development status; Research 　　 　　回归自然的“人性化分娩”一直是现在产科医学所倡导的健康、先进的概念，也是一门科学??行为方式，现已成为世界围产医学的发展方向。水中分娩是一种采用非药物性减轻产妇分娩疼痛的方式，随着研究不断深入,目前在国内外的应用范围也越来越广泛。 　　1 水中分娩的发展史 　　1.1 水中分娩的历史 　　水中分娩在国外已有200年的历史，法国的Embry[1]在1805年