北京地区妇幼专科医院医务人员对椎管内分娩镇痛认知情况的调查

目的 调查北京地区妇幼专科医院部分医务人员对椎管内分娩镇痛的认知情况，为进一步开展分娩镇痛提供决策依据。
方法 采用自行设计的问卷于2019年6—8月对北京地区22家妇幼专科医院医务人员进行椎管内分娩镇痛认知和应用情况的问卷调查。调查问卷内容包括3个部分共23个条目。
结果 本次调查共收集到调查问卷3 786份，其中95.25%的医务人员听说过椎管内分娩镇痛，清楚了解为39.65%。87.63%的医务人员认为目前最有效的分娩镇痛方法为椎管内分娩镇痛。83.64%的医务人员赞成椎管内分娩镇痛，15.75%的医务人员不支持也不反对分娩镇痛。96.67%的麻醉科医师了解椎管内分娩镇痛，而产科医师和助产士分别只有64%和78.82%了解分娩镇痛。22家妇幼专科医院2018年度椎管内分娩镇痛率最低为2.12%，最高为93.98%，平均为46.25%，其中14家公立妇幼专科医院椎管内分娩镇痛率为43.21%，8家非公立妇幼专科医院为88.63%，分娩镇痛改剖宫产比率为6.20%。
结论 北京地区各妇幼专科医院分娩镇痛率极不均衡，非公立医院分娩镇痛开展比例明显高于公立医院。麻醉科医师、产科医师和助产士对椎管内分娩镇痛了解程度明显高于其他科室人员。

Investigation on cognition of labor analgesia among medical staff in Beijing's maternal and child specialized hospitals

Ojective To investigate the cognition of intraspinal labor analgesia among the medical staff in maternal and child care hospitals in Beijing, and provide decision-making evidence for further development of labor analgesia.
Methods A self-designed questionnaire survey was conducted in 22 different maternity and chid care hospitals in Beijing from June 2019 to August 2019. The questionnaire contained 3 parts and 23 items.
Results A total of 3 786 questionnaires were collected in this survey. 95.25% of respondents had heard of the intraspinal labor analgesia, and 39.65% of respondents clearly knew this method. Moreover, 87.63% of respondents believed that intraspinal labor analgesia is the most effective method of labor analgesia. Furthermore, 83.64% of respondents agreed with spinal or epidural labor analgesia, while 15.75% of respondents neither supported nor opposed. Notably, 96.67% of anesthesiologists clearly knew epidural labor analgesia. However, 64% of obstetricians and 78.82% of midwives knew about it. In 2018, the rate of labor analgesia in 22 maternal and child care hospitals raised from 2.12% to 93.98%,with an average of 46.25%. Among them, the average rate of epidural labor analgesia was 43.21% in 14 public maternal and child care hospitals and 88.63% in 8 non-public maternal and child care hospitals. The rate of transition from labor analgesia to cesarean section was 6.20%.
Conclusion The rate of labor analgesia in different maternal and child care hospitals in Beijing is extremely uneven, and the proportion of labor analgesia in non-public hospitals is significantly higher than that in public hospitals. Anesthesiologists, obstetricians and midwives had a better understanding of intraspinal labor analgesia than staff in other departments.