国际麻醉学与复苏杂志   2023, Issue (5): 3-3
    
椎管内分娩镇痛常见并发症的预防与处理
张青林, 徐铭军1()
1.首都医科大学附属北京妇产医院/北京妇幼保健院
Prevention and management of common complications of neuraxial labor analgesia
 全文:
摘要:

椎管内分娩镇痛是最有效和理想的分娩镇痛方式,但仍然存在一些常见并发症。文章针对低血压、硬脊膜穿破后头痛(postdural puncture headache, PDPH)、硬膜外相关产时发热(epidural‑related maternal fever, ERMF)、爆发痛、镇痛不全、宫缩乏力、短暂胎心监护异常、尿潴留、瘙痒等常见并发症以及中转剖宫产术的新进展、预防以及处理进行阐述,旨在确保母婴安全,提高分娩镇痛质量,规范分娩镇痛的临床操作及管理。

关键词: 产妇; 椎管内分娩镇痛; 并发症
Abstract:

At present, neuraxial labor analgesia is the most effective and ideal analgesia method, but there are still some common complications. This article will address the new developments, prevention, and management of several common complications, such as hypotension, postdural puncture headache (PDPH), epidural‑related maternal fever (ERMF), breakthrough pain, inadequate labor analgesia, uterine atony, transient fetal heart rate changes, urinary retention and pruritus, and conversion of epidural labor analgesia to anesthesia for cesarean delivery. The aim of this paper is to ensure both maternal and neonatal safety, and improve and standardize the clinical operation and management of delivery analgesia.

Key words: Puerperant; Neuraxial labor analgesia; Complication