分娩鎮痛的臨床證據_《中國循證醫學雜志》

作者：

 林雪梅 , 周俊 , 唐昱英 , 馬玉姍

四川大學華西第二醫院麻醉科（成都 610041）;

關鍵詞：

分娩鎮痛循證治療系統評價 Meta分析 Cochrane 系統評價

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

目的　探討分娩鎮痛的方法和藥物的選擇以及分娩鎮痛對產程、器械助產率、分娩方式及母兒的影響。
方法　計算機檢索Cochrane 圖書館（2006年第4期）、MEDLINE（1978～2006.10）和中國生物醫學文獻數據庫（1980～2006.10），查找與分娩鎮痛有關的系統評價、Meta分析等，獲取最佳證據用于臨床治療。
結果　共檢索到8篇Cochrane系統評價和6篇Meta分析。分析結果表明，硬膜外分娩鎮痛會造成第二產程延長、催產素使用量的增加、器械助產率增加以及產婦發熱，但不會造成第一產程的延長，剖宮產率的增加。
結論　硬膜外分娩鎮痛較其他鎮痛方法具有優勢。

引用本文： 林雪梅,周俊,唐昱英,馬玉姍. 分娩鎮痛的臨床證據. 中國循證醫學雜志, 2006, 06(11): 843-846. doi: 復制

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1. 李幼平. 主編. 循證醫學. 第1版. 北京: 高等教育出版社; 2003. 20~21.
2. Somuah MA, Smyth R, Howell C. Epidural versus non-epidural or no analgesia in labour. Cochrane Database of Systematic Reviews 2006, Issue 4.
3. Hughes D, Simmons SW, Brown J. Combined spinal-epidural versus epidural analgesia in labour Cochrane Database of Systematic Reviews 2006, Issue 4.
4. Hedayati H, Parsons J, Crowthe CA. Rectal analgesia for pain from perineal trauma following childbirth The Cochrane Database of Systematic Reviews 2006, Issue 4.
5. Smith CA , CollinCT s, Cyna AM, et al. Complementary and alternative therapies for pain management in labour The Cochrane Database of Systematic Reviews 2006, Issue 4.
6. Cluett ER, Nikodem VC, McCandlish RE. Immersion in water in pregnancy, labour and birth.The Cochrane Database of Systematic Reviews 2006, Issue 4.
7. Hodnett ED, Downe S, Dwards N, et al. Home-like versus conventional institutional settings for birth Cochrane Database of Systematic Reviews 2006, Issue 4.
8. Elbourne D, Wiseman RA. Types of intra-muscular opioids for maternal pain relief in labour. The Cochrane Database of Systematic Reviews 2006, Issue 4.
9. Torvaldsen S, Roberts CL, Bell JC, et al. Discontinuation of epidural analgesia late in labour for reducing the adverse delivery outcomes associated with epidural analgesia The Cochrane Database of Systematic Reviews 2006, Issue 4.
10. Liu EH, Sia AT. Rates of caesarean section and instrumental vaginal delivery in nulliparous women after low concentration epidural infusions or opioid analgesia: systematic review. BMJ, 2004;328(7453): 1410.
11. Sharma SK, McIntire DD, Wiley J, et al. Labor analgesia and cesarean delivery: an individual patient meta-analysis of nulliparous women. Anesthesiology, 2004; 100(1): 142–148.
12. Writer WD, Stienstra R, Eddleston JM, et al. Neonatal outcome and mode of delivery after epidural analgesia for labour with ropivacaine and bupivacaine: a prospective meta-analysis. Br J Anaesth, 1998; 81: 713–717.
13. Halpern SH, Walsh V. Epidural ropivacaine versus bupivacaine for labor: a meta-analysis. Anesth Analg, 2003; 96(5): 1473–1479.
14. Bucklin BA, Chestnut DH, Hawkins JL. Intrathecal opioids versus epidural local anesthetics for labor analgesia: a meta-analysis. Reg Anesth Pain Med, 2002; 27(1): 23–30.
15. Reynolds F, Sharma SK, Seed PT. Analgesia in labour and fetal acid-base balance: a meta-analysis comparing epidural with systemic opioid analgesia. BJOG, 2002; 109(12): 1344–1353.
16. Li YP. Editor-in-Chief. Evidence-Based Medicine. 1st Edition. Beijing: Higher Education Press; 2003. 20–21.

《中國循證醫學雜志》

分娩鎮痛的臨床證據

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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《中國循證醫學雜志》

分娩鎮痛的臨床證據

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料