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中华妇幼临床医学杂志(电子版) ›› 2016, Vol. 12 ›› Issue (02) : 232 -236. doi: 10.3877/cma.j.issn.1673-5250.2016.02.019

所属专题: 文献

综述

非药物分娩镇痛的研究进展
贺腾1, 张时鸿2,*,*()   
  1. 1. 610041 成都,四川大学华西第二医院麻醉科
    2. 610041 成都,四川大学华西第二医院妇产科
  • 收稿日期:2016-01-04 修回日期:2016-03-09 出版日期:2016-04-01
  • 通信作者: 张时鸿

Research progress of non-pharmacological labor analgesia

Teng He1, Shihong Zhang2()   

  1. 1. Department of Anesthesia, and Gynecology, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
    2. Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Received:2016-01-04 Revised:2016-03-09 Published:2016-04-01
  • Corresponding author: Shihong Zhang
  • About author:
    Corresponding author: Zhang Shihong, Email:
引用本文:

贺腾, 张时鸿. 非药物分娩镇痛的研究进展[J]. 中华妇幼临床医学杂志(电子版), 2016, 12(02): 232-236.

Teng He, Shihong Zhang. Research progress of non-pharmacological labor analgesia[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2016, 12(02): 232-236.

分娩疼痛是造成母婴不良妊娠结局和剖宫产率增高的重要原因之一。根据分娩疼痛与内源性镇痛措施的生理机制,设计缓解分娩疼痛或增强分娩者疼痛耐受力的非药物分娩镇痛方法,可在维持母婴安全基础上,缓解分娩疼痛,促进自然分娩。笔者拟对精神预防性分娩镇痛法、拉玛泽减痛分娩法、陪伴分娩法、家庭式分娩法、音乐疗法、催眠疗法及松弛疗法等心理支持疗法,以及自由体位分娩疗法、穴位按摩疗法、针刺镇痛疗法、皮内水注射镇痛疗法、经皮神经电刺激镇痛疗法、水中分娩镇痛疗法、热疗与冷疗镇痛法、芳香镇痛疗法及分娩球镇痛疗法等生理干预镇痛疗法的多种非药物分娩镇痛方法的研究进展进行综述。

Severe labor pain is one of the important reasons leading to adverse labor outcomes and high cesarean section rate. According to the physiological mechanisms of labor pain and endogenous analgesia, the methods of non-pharmacological labor analgesia are designed to release labor pain and increase labor pain tolerance. On the basis of maintaining maternal and child safety, non-pharmacologic measures can relieve labor pain and promote natural delivery. The author will review the research progress of several methods of non-pharmacologic labor analgesia containing psychological support therapy and intervention analgesia technology to body. The psychological support therapies include psychoprophylaxis analgesia, Lamaze breathing, accompanied delivery, domiciliary delivery, music therapy, hypnosis and relax therapy and so on. The intervention analgesia technologies to body include free labor positioning, acupressure and acupuncture, intradermal water blocks, transcutaneous electrical nerve stimulation, water baths, hot and cold applications, aromatherapy and birth ball and so on.

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