[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$f_DPENhivaP5977IqdDUHFQve4PoS3y_2Oxjp37cIuyU":8,"$f7_zBSAi6hR4zBzNY0JJOscLm82DzhWvjqvG245_Xx7o":55,"$f6zv8FrsyhJoXJw-Pu2AHsPIyWIeoyijhUOb3WFTZwdE":59},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":54},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"hospital":17,"department":18,"postsTitle":19,"materialTotal":20,"videoTotal":21,"isConcern":7,"title":22,"coverVertical":23,"coverAcross":24,"content":25,"description":26,"views":27,"likes":21,"isThumbsUp":7,"isCollection":7,"collections":21,"createTime":28,"seoTitle":22,"seoKeywords":29,"seoDescription":30,"shelvesTime":31,"version":32,"menus":33,"menuId":35,"type":42,"quality":53,"commentCount":21,"isComment":42},53809,863532,[],"https://ystcdn.venuertc.com/medical/ystApp/0GTuCUnGXZjndWVdnL6zXUhWL4FsMu2K.png","奚亮","上海市普陀区人民医院","麻醉科","主治医师",30,0,"麻醉领域在分娩中的应用：你需要了解的","","https://ystcdn.venuertc.com/venue/AI/a38fdc46-81fc-40d5-bfa9-4be86482d7a3.jpg","\u003Cdiv class=\"custom-health-article-root\">\n\n  \u003Ch1 id=\"material_title\" class=\"custom-health-title\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">麻醉领域在分娩中的应用：你需要了解的\u003C/h1>\n\n  \u003Csection class=\"custom-section-bg pastel-bg1\">\n    \u003Ch2 class=\"custom-health-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">01 麻醉在分娩中的重要性\u003C/h2>\n    \u003Cdiv class=\"custom-health-content\">\n      \u003Cp>分娩说起来是场既特别又激动的旅程，但阵痛开始时，很多产妇都会不由自主地担忧疼痛怎么应对、自己能不能顺利完成分娩。\u003C/p>\n      \u003Cp>\n        其实，现在产房里的麻醉医生早已不只是\"打麻药\"那么简单。他们的工作，是让孕妈妈在分娩时疼痛变小，甚至很多时候可以做到几乎没有痛感，同时还要确保妈妈和宝宝的安全，尤其是在一些需要紧急处理或特殊操作（比如剖腹产、产钳助产）时，麻醉的介入对降低分娩风险、提升生育体验发挥着重要作用。\n      \u003C/p>\n      \u003Cp>\n        \u003Cspan class=\"emoji-span\">💡\u003C/span>现实中，许多女性担心麻醉会不会影响宝宝、麻药是不是对身体有副作用。研究显示，正规操作下的分娩麻醉不影响新生儿神经发育，风险远低于很多人想象 \u003Csup>[1]\u003C/sup>。所以，选择合适的麻醉方式，其实是在为分娩增加一层保护伞。      \n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"custom-section-bg pastel-bg2\">\n    \u003Ch2 class=\"custom-health-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">02 分娩时如何识别异常信号？\u003C/h2>\n    \u003Cdiv class=\"custom-health-content\">\n      \u003Col class=\"custom-points-list\">\n        \u003Cli>\n          \u003Cb>阵痛之外的持续剧烈腹痛\u003C/b>\u003Cbr>\n          分娩时子宫收缩带来的疼痛是有规律的。如果你感到阵痛\"停不下来\"，或疼痛性质变得非常异常，就要留心。曾有一位40岁、体重105kg的孕妇，在分娩后期突然出现无法缓解的下腹持续剧痛，这不再是普通阵痛，而预示着头盆不称等难产风险，需要麻醉团队和产科医生及时评估，快速介入。\n        \u003C/li>\n        \u003Cli>\n          \u003Cb>新生儿呼吸不畅或颜色发紫\u003C/b>\u003Cbr>\n          宝宝出生时应当尽快啼哭、面色红润。若发现宝宝迟迟没有大声啼哭、呼吸微弱、皮肤发紫等，说明有新生儿窒息的风险，必须立刻通知医护人员，并做好相关处理。\n        \u003C/li>\n        \u003Cli>\n          \u003Cb>大出血和突发晕厥\u003C/b>\u003Cbr>\n          产后短时间内出现大量阴道出血、脸色苍白、全身无力甚至晕倒，这都提示有可能发生子宫收缩乏力或其他并发症。此时产妇及家属需要第一时间告知现场医护，紧密关注。\n        \u003C/li>\n      \u003C/ol>\n      \u003Cp>\n        \u003Cspan class=\"emoji-span\">🆘\u003C/span>在分娩现场，异常信号如果被忽视，可能会给母婴带来严重风险。及时识别和汇报，是每个产妇和家属必须知晓的要点之一。\u003C/p>\u003C/div>\u003C/section>\n\n  \u003Csection class=\"custom-section-bg pastel-bg5\">\n    \u003Ch2 class=\"custom-health-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">03 分娩时常用的麻醉方案有哪些？\u003C/h2>\n    \u003Cdiv class=\"custom-health-content\">\n      \u003Cp>说到分娩用药，过去“忍着就过去了”这种观念早已Out，现在大家更关注安全、舒适的麻醉方式。常见的选择有：\u003C/p>\n      \u003Cul class=\"custom-points-list\">\n        \u003Cli>\n          \u003Cb>无痛分娩（硬膜外麻醉）\u003C/b>\u003Cbr>\n          适合大多数顺产妈妈，通过脊柱周围打麻药，减轻宫缩带来的疼痛。但不会影响妈妈意识，也基本不影响产程。国内大医院成熟开展这项服务，安全性已高度验证 \u003Csup>[4]\u003C/sup>。\n        \u003C/li>\n        \u003Cli>\n          \u003Cb>腰麻/蛛网膜下腔麻醉\u003C/b>\u003Cbr>\n          多用于剖腹产，见效快，麻醉效果强。孕妇下半身有“麻木感”，手术期间可以保持清醒。适用于头盆不称等需要剖宫产的场景。\n        \u003C/li>\n        \u003Cli>\n          \u003Cb>硬膜外+静脉麻醉\u003C/b>\u003Cbr>\n          遇到产程异常、需要紧急产钳助产或剖腹产时，采用双重麻醉方案有助手术过程平稳顺利。比如上面提到那位40岁的产妇，医生就利用了硬膜外复合静脉麻醉，术中用药搭配收缩素和血管活性药物，可控风险，帮助手术顺利完成。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        医学数据显示，现代麻醉药物已经极大地减少了对产妇及新生儿的不良影响，新生儿窒息率并未因麻醉增加 \u003Csup>[4]\u003C/sup>。别忽视麻醉方案的选择，有疑问可以提前和麻醉科医生沟通，提前制定个体化分娩计划。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"custom-section-bg pastel-bg6\">\n    \u003Ch2 class=\"custom-health-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">04 麻醉科在产后恢复中的角色\u003C/h2>\n    \u003Cdiv class=\"custom-health-content\">\n      \u003Cp>\n        很多人以为“生完就完事了”，其实，产后的麻醉干预对恢复至关重要。尤其是经历了剖宫产、产钳助产等手术方式的妈妈，做好疼痛管理和生命体征监控，可以加快身体恢复，预防慢性疼痛或相关并发症，对带娃的精力和心情都有正面影响。\n      \u003C/p>\n      \u003Cul class=\"custom-points-list\">\n        \u003Cli>\n          \u003Cb>疼痛管理\u003C/b>：产后使用局部镇痛泵或短期口服镇痛药，可以帮助新妈妈快速恢复下床活动，降低因疼痛而带来的心理负担。\n        \u003C/li>\n        \u003Cli>\n          \u003Cb>生命体征监控\u003C/b>：麻醉团队会持续关注产妇的心率、血压、呼吸等，预防大出血、感染或其他潜在并发症。\n        \u003C/li>\n        \u003Cli>\n          \u003Cb>科学饮食与早期运动\u003C/b>：医护团队会鼓励新妈妈通过均衡饮食和循序渐进的轻度运动，进一步巩固体力，有助于乳汁分泌和身体各项机能恢复。\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        有实证研究指出，手术后2天内科学的疼痛干预，能大幅提升妈妈的睡眠和生活质量 \u003Csup>[5]\u003C/sup>。这说明产后别着急硬扛，合理寻求麻醉和康复团队协助更有益。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n\n  \u003Csection class=\"custom-section-bg pastel-bg7\">\n    \u003Ch2 class=\"custom-health-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">05分娩预防建议和日常管理\u003C/h2>\n    \u003Cdiv class=\"custom-health-content\">\n      \u003Cp>\n        平时怎么做，有助于降低头盆不称和分娩并发症风险？其实关键在于调整生活方式和保持良好身体状态。下面推荐几条大家能做到的具体预防建议：\n      \u003C/p>\n      \u003Cul class=\"custom-points-list\">\n        \u003Cli>\n          \u003Cb>高蛋白饮食\u003C/b> + \u003Cspan class=\"custom-recommend-highlight\">帮助胎儿正常发育，控制体重\u003C/span> + \u003Cspan class=\"custom-recommend-highlight\">日常三餐注意增加瘦肉、鸡蛋、豆制品等蛋白质摄入\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cb>新鲜蔬菜水果\u003C/b> + \u003Cspan class=\"custom-recommend-highlight\">增强体力，减少便秘\u003C/span> + \u003Cspan class=\"custom-recommend-highlight\">每日搭配多种蔬菜和一点水果，既利于吸收也能享受美味\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cb>温和运动\u003C/b> + \u003Cspan class=\"custom-recommend-highlight\">改善盆底肌肉弹性，减少难产可能\u003C/span> + \u003Cspan class=\"custom-recommend-highlight\">如快步走、孕妇瑜伽，每周两三次\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cb>定期产检\u003C/b> + \u003Cspan class=\"custom-recommend-highlight\">有助及早发现高危因素\u003C/span> + \u003Cspan class=\"custom-recommend-highlight\">有异常信号时及时听取医生建议，合理配合检查\u003C/span>\n        \u003C/li>\n        \u003Cli>\n          \u003Cb>选择正规医院和合格医生\u003C/b> + \u003Cspan class=\"custom-recommend-highlight\">确保就诊过程安全、有保障\u003C/span> + \u003Cspan class=\"custom-recommend-highlight\">孕期、分娩和产后都要重视医疗团队协作\u003C/span>\n        \u003C/li>\n      \u003C/ul>\n      \u003Cp>\n        \u003Cspan class=\"emoji-span\">🌈\u003C/span>有时候，细节决定分娩的顺利与否。养成良好生活习惯，其实比临时“补救”更管用。\n      \u003C/p>\n    \u003C/div>\n  \u003C/section>\n   \n  \u003Csection class=\"custom-section-bg pastel-bg8\">\n    \u003Ch2 class=\"custom-health-subtitle\" style=\"color: rgb(44, 62, 80); margin: 1.2em 0px 0.6em; font-weight: 700; border-bottom: 1px solid rgb(238, 238, 238);\">参考文献\u003C/h2>\n    \u003Cdiv class=\"custom-health-content\">\n      \u003Col class=\"custom-ref-list\">\n        \u003Cli>\n          Moldenhauer, J. S. (2017). \u003Ci>Neuraxial Analgesia for Labor: Effects on Labor Progress and Maternal-Fetal Outcomes\u003C/i>. Clinics in Perinatology, 44(2), 411-421.\n        \u003C/li>\n        \u003Cli>\n          Hofmeyr, G. J., & Hannah, M. (2003). \u003Ci>Pelvimetry for Fetal Cephalic Presentation at Term\u003C/i>. Cochrane Database of Systematic Reviews, Issue 2, Art. No.: CD000161.\n        \u003C/li>\n        \u003Cli>\n          Cunningham, F. G., Leveno, K. J., Bloom, S. L., Dashe, J. S., Hoffman, B. L., Casey, B. M., & Spong, C. Y. (2018). \u003Ci>Williams Obstetrics\u003C/i> (25th ed.). McGraw Hill Education.\n        \u003C/li>\n        \u003Cli>\n          Le Ray, C., & Carayol, M. (2016). \u003Ci>Epidural analgesia in obstetrics: Benefits and risks\u003C/i>. Best Practice & Research Clinical Anaesthesiology, 30(1), 1-11.\n        \u003C/li>\n        \u003Cli>\n          Wu, C. L., Rowlingson, A. J., Partin, A. W., Kalish, M. A., Courpas, G., Walsh, P. C., & Fleisher, L. A. (2005). \u003Ci>Perioperative Pain Management in the Postpartum Period\u003C/i>. Obstetrics & Gynecology, 106(2), 356-362.\n        \u003C/li>\n      \u003C/ol>\n    \u003C/div>\n  \u003C/section>\n\n\u003C/div>\n\n\u003Cstyle>\n.custom-health-article-root {\n  margin: 0 auto;\n  max-width: 860px;\n  padding: 28px 18px 30px 18px;\n  font-family: \"Hiragino Sans GB\", \"Microsoft Yahei\", Arial, sans-serif;\n  background-color: #f8fafb;\n  border-radius: 18px;\n  box-shadow: 0 3px 16px rgba(200,210,223,0.13);\n  box-sizing: border-box;\n}\n\n.custom-health-title {\n  font-size: 2.2em;\n  color: #3578b2;\n  margin-bottom: 30px;\n  text-align: center;\n  font-weight: bold;\n  letter-spacing: 1px;\n}\n\n.custom-health-subtitle {\n  font-size: 1.4em;\n  color: #324664;\n  margin: 0 0 15px 0;\n  font-weight: 600;\n  letter-spacing: 0.5px;\n  position: relative;\n  z-index: 1;\n}\n\n.custom-health-content {\n  font-size: 1.04em;\n  color: #38505c;\n  line-height: 2;\n  padding: 8px 3px 10px 9px;\n  margin-bottom: 24px;\n  border-radius: 10px;\n  background: rgba(255,255,255,0.67);\n}\n\n.custom-section-bg {\n  margin-bottom: 26px;\n  padding: 16px 11px 17px 13px;\n  border-radius: 14px;\n  box-shadow: 0 1px 7px rgba(168,188,214,0.09);\n  overflow: hidden;\n}\n\n.pastel-bg1 {\n  background: linear-gradient(93deg,#eaf6ff 66%,#f6faff 100%);\n}\n\n.pastel-bg2 {\n  background: linear-gradient(92deg, #fff6e7 70%, #fffcf6 100%);\n}\n\n.pastel-bg3 {\n  background: linear-gradient(92deg, #e7f8ee 60%, #f6fff9 100%);\n}\n\n.pastel-bg4 {\n  background: linear-gradient(92deg, #f7e7fa 58%, #fbf7ff 100%);\n}\n\n.pastel-bg5 {\n  background: linear-gradient(92deg, #e7f1fa 63%, #f7fdff 100%);\n}\n\n.pastel-bg6 {\n  background: linear-gradient(92deg, #fffbe7 70%, #fffeef 100%);\n}\n\n.pastel-bg7 {\n  background: linear-gradient(90deg, #e8eef8 57%, #f7fafd 100%);\n}\n\n.pastel-bg8 {\n  background: linear-gradient(90deg, #ffeefa 70%, #fef5fc 100%);\n}\n\n.custom-points-list {\n  list-style: disc inside;\n  margin-left: 13px;\n  margin-bottom: 6px;\n  margin-top: 4px;\n  padding-left: 10px;\n}\n\n.custom-points-list li {\n  margin-bottom: 10px;\n}\n\n.custom-recommend-highlight {\n  color: #307baa;\n  background: #eaf6ff;\n  border-radius: 4px;\n  padding: 0 4px 0 4px;\n  margin-left: 3px;\n  margin-right: 1px;\n}\n\n.emoji-span {\n  font-size: 1.18em;\n  vertical-align: middle;\n  margin-right: 3px;\n}\n\n.custom-ref-list {\n  margin-top: 8px;\n  margin-left: 10px;\n  padding-left: 8px;\n}\n\n.custom-ref-list li {\n  margin-bottom: 5px;\n  font-size: 0.99em;\n  color: #435f76;\n}\n\n@media only screen and (max-width: 700px) {\n  .custom-health-title {\n    font-size: 1.25em;\n  }\n  .custom-health-subtitle {\n    font-size: 1.1em;\n  }\n  .custom-health-article-root {\n    padding: 7px 0 22px 0;\n    max-width: 98%;\n  }\n  .custom-section-bg {\n    padding: 7px 3px 10px 6px;\n    margin-bottom: 18px;\n  }\n}\n\u003C/style>\n\n","\u003Cdiv class=\"custom-health-article-root\">\n\n  \u003Ch1 id=\"material_title\" class=\"custom-health-title\" styl",674,"2025-07-29 13:49:55","麻醉, 分娩, 无痛分娩, 头盆不称, 产后恢复","了解分娩中的麻醉重要性及选择合适麻醉方案的重要性，帮助减少疼痛和降低分娩风险。本文为孕妇提供专业指导与实用建议。","2025-07-29 21:18:00",2,[34],{"menuId":35,"menuName":36,"parentId":21,"orderNum":32,"path":37,"component":38,"isFrame":39,"isCache":40,"menuType":41,"visible":42,"status":21,"createDept":6,"remark":23,"createTime":43,"children":44,"columnImage":45,"columnLogo":46,"uncheckedLogo":6,"checkedLogo":6,"isHot":42,"isHome":21,"forceLogin":21,"color":47,"seoTitle":48,"seoKeywords":49,"seoDescription":50,"contentNum":6,"promotionalPoster":51,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":52,"routerPath":37,"componentInfo":38},"1986713082609147906","健康科普","article","/article.html","1","0","T",1,"2025-11-07 16:31:25",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:49/d4291d16-ed1c-48dd-84c8-ec1f85980b75.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:52/6fe64094-9416-442c-a66d-032fb292666a.png","#c8e6ca","健康科普助力健康中国2030:共享健康知识新理念","健康科普, 健康中国, 科普知识, 健康家庭, 性健康, 营养健康, 运动健康, 科普宣传","探索健康科普在健康中国行动中的重要角色,了解最新的健康科普创新大赛、动漫及短视频,传播健康知识,助力全民健康。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:08:56/bd33f471-6c54-4d1b-a364-b06973dbc144.png","Article","慢性病,高发轻症,心理健康,传染病,癌症肿瘤,重大疾病,口腔疾病,过敏性疾病,儿童疾病,运动损伤,皮肤健康,上班常见病",true,{"code":9,"msg":10,"message":6,"data":56,"success":54},{"pageNo":42,"pageSize":57,"result":58,"totalSize":21},10,[],{"code":9,"msg":10,"message":6,"data":60,"success":54},{"authors":61,"appraiseDimensionScoresVos":62},[],[]]