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椎管内阻滞分娩镇痛后产时发热的影响因素
作者姓名:刘芳园  崔睿
作者单位:南方医科大学第一临床医学院
基金项目:广东省深圳市妇幼保健院院内项目(FYB2012024)。
摘    要:分娩疼痛容易引起产妇的焦虑、恐惧、紧张等负面情绪,从而对产妇及胎儿产生诸多不良影响。分娩镇痛可以降低产妇的疼痛程度,从而减轻其负面影响。而椎管内阻滞分娩镇痛具有镇痛效果突出、不影响产程、对新生儿影响较小等优点,已成为分娩镇痛的主要手段。但仍有很多人认为分娩镇痛会对胎儿产生不良影响,而拒绝使用。其中就包括产时发热,产时发热对孕妇及新生儿的影响也不容忽视。分娩镇痛与产妇体温升高二者之间关系复杂,本文就椎管内阻滞分娩镇痛产时发热的影响因素进行讨论。

关 键 词:分娩镇痛  椎管内阻滞  产时发热  影响因素

Effect of intrapartum fever after epidural analgesia
Authors:LIU Fangyuan  CUI Rui
Institution:(Department of Anesthesiology,Shenzhen Maternity&Child Healthcare Hospital,The First School ofClinical Medicine,Southern Medical University,Shenzhen 51800,China)
Abstract:Labor pain has a negative impact on parturients and fetus.Labor analgesia can reduce the degree of pain in parturients,which can ease maternal depression.The whole epidural analgesia has become the main method of labor analgesia for its outstanding analgesic effect.And it doesn t affect birth process.But there are so many people think labor analgesia has adverse impacts on fetus,thus they refuse to use it.The one of adverse impact is intrapartum fever,the influence of which on the safety of parturients and fetus can’t be neglected.The relationship between labor analgesia and prenatal fever is complex.The review explores influence factors of epidural analgesia on intrapartum fever.
Keywords:labor analgesia  epidural analgesia  intrapartum fever  influence factors
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