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Obstetric epidural analgesia

机译：产科硬膜外镇痛

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Purpose of the review: There has recently been a growing interest in developing and modulating the techniques of neuraxial analgesia to meet the changing individual needs of parturients for pain relief during the course of labour and delivery. Recent findings: Neuraxial analgesia is now very safe. Modern low-dose spinal-epidural regimens provide efficacious analgesia, stable maternal haemodynamics and few tolerable side effects. Complications are possible, however, due to the invasive nature of the technique, patient characteristics or medical malpractice. Summary: Labour epidural analgesia still remains the 'gold standard' of obstetric pain management, although spinal analgesia with the single-injection technique is an attractive option due to its simplicity, reliability and efficacy. Up till now, there bas been no single new drug to overcome the superiority of neuraxial analgesia in obstetrics.
机译：审查目的：最近，人们对开发和调节神经痛镇痛技术以满足分娩产妇在分娩和分娩过程中缓解疼痛方面不断变化的需求越来越感兴趣。最新发现：神经痛镇痛现在非常安全。现代的小剂量脊髓-硬膜外疗法可提供有效的镇痛作用，稳定的产妇血流动力学和可耐受的副作用。然而，由于该技术的侵入性，患者特征或医疗事故，可能导致并发症。简介：硬膜外硬膜外镇痛仍然是产科疼痛管理的“金标准”，尽管采用单次注射技术的脊柱镇痛由于其简单性，可靠性和有效性是一个有吸引力的选择。迄今为止，还没有一种新的药物可以克服神经轴镇痛在产科中的优越性。

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