黄蔚四川大学华西(Huáxī)第二医院麻醉科分娩(fēnmiǎn)镇痛第一页，共六十五页。WestChinaSecondHospitalSichuanUniversity前言第二页，共六十五页。WestChinaSecondHospitalSichuanUniversity圣经(Shèngjīng)的故事TheBible上帝说：亚当，必须终身劳苦，才能从地里获得粮食夏娃，我必多多加增你怀胎的苦楚，你生产儿女必多受痛苦。你必恋慕(liànmù)你丈夫，你丈夫必管辖你产痛是自人类出现即伴随母亲的痛苦第三页，共六十五页。WestChinaSecondHospitalSichuanUniversity第四页，共六十五页。WestChinaSecondHospitalSichuanUniversity(chǎnfù)第五页，共六十五页。WestChinaSecondHospitalSichuanUniversity第六页，共六十五页。WestChinaSecondHospitalSichuanUniversity第七页，共六十五页。WestChinaSecondHospitalSichuanUniversity第十届世界疼痛医学大会明确将疼痛列为继体温、血压、脉搏、呼吸之后的“第五大生命体征”第八页，共六十五页。WestChinaSecondHospitalSichuanUniversity第九页，共六十五页。WestChinaSecondHospitalSichuanUniversity第十页，共六十五页。WestChinaSecondHospitalSichuanUniversity分娩痛情绪紧张，焦虑产妇(chǎnfù)心排出量第十一页，共六十五页。WestChinaSecondHospitalSichuanUniversity母体负荷加重应激改变胎儿对氧和营养(yíngyǎng)的摄肾上腺素浓度不规律子宫收缩去甲肾上腺素子宫-胎盘血管收缩血流第十二页，共六十五页。WestChinaSecondHospitalSichuanUniversity第十三页，共六十五页。WestChinaSecondHospitalSichuanUniversity疼痛缓解(huǎnjiě)措施使疼痛(téngtòng)的应激反应降低、消失对母子(mǔzǐ)有益第十四页，共六十五页。WestChinaSecondHospitalSichuanUniversity分娩(fēnmiǎn)镇痛的方式很多主要有:第十五页，共六十五页。WestChinaSecondHospitalSichuanUniversity第十六页，共六十五页。WestChinaSecondHospitalSichuanUniversity第十七页，共六十五页。WestChinaSecondHospitalSichuanUniversity分娩镇痛率美国、英国﹥90%，法国儒勒·凡尔纳大学妇产医院96%，北京妇产医院30%、北大妇产儿童医院45%，全国则不足1%第十八页，共六十五页。WestChinaSecondHospitalSichuanUniversity第十九页，共六十五页。WestChinaSecondHospitalSichuanUniversityUniversity第二十页，共六十五页。WestChinaSecondHospitalSichuanUniversity第二十一页，共六十五页。...
