程控间歇脉冲给药模式在分娩镇痛中的参数研究进展
Research advances in programmed intermittent epidural bolus regimens in labor analgesia
黄雪娇 1徐铭军1
作者信息
- 1. 首都医科大学附属北京妇产医院,北京妇幼保健院麻醉科,北京 100026
- 折叠
摘要
椎管内分娩镇痛是全世界公认的缓解分娩痛最安全、有效的方法.程控间歇硬膜外脉冲给药(PIEB)相较于传统的连续恒速输注(CEI)是更加理想的椎管内分娩镇痛注药模式,但其最佳参数设置目前还没有定论.文章总结和概括目前国内外PIEB的参数(包括脉冲容量、脉冲间隔时间、脉冲速率等)在椎管内分娩镇痛中的应用研究进展,为PIEB更加合理、安全地应用于临床提供参考,也为未来研究者提供和开拓新的思路及新的研究方向.
Abstract
Neuraxial labor anesthesia is the safest and most effective way to relieve labor pain.Programmed intermittent epidu-ral bolus(PIEB)is considered a more ideal mode of intrathecal labor analgesia drug delivery than the traditional continuous epidural in-fusion(CEI).However,optimal parameter settings for PIEB have not yet been conclusively determined.This review summarizes and en-capsulates the current domestic and international research advances in PIEB parameters set in the application of intrathecal labor anal-gesia,including bolus volume,inter-bolus interval,infusion rate,and so on.It aims to provide references for better rational and safe clinical application of PIEB and to suggest new perspectives and directions for future researchers.
关键词
分娩镇痛/程控间歇硬膜外脉冲给药Key words
Labor analgesia/Programmed intermittent epidural bolus引用本文复制引用
出版年
2024
NETL
NSTL
万方数据