通过使用公开可访问的数据库,在日本提供劳动神经轴痛解疗法的全国性表征
Daisuke Sakamaki1, Kazutoshi Onitsuka2, Yusuke Mazda3
1Department of Anesthesiology, Jikei University School of Medicine, Tokyo, Japan.
Journal of anesthesia
|October 26, 2025
概括
在日本,麻醉师参与劳动神经轴痛解 (LNA) 是有限的,产科医生经常管理护理. 虽然麻醉师领导的LNA使用先进的技术,但24小时的可用性并不常见,需要在系统层面进行改进,以获得更好的访问和安全.
科学领域:
- 产科和妇科 产科和妇科
- 麻醉学 麻醉学
- 公共卫生 公共卫生
背景情况:
- 在日本,劳动神经轴痛解 (LNA) 主要由产科医生提供,特别是在较小的设施中.
- 在产科麻醉中,经过董事会认证的麻醉师的参与程度需要澄清,尽管人们越来越关注母亲的安全.
研究的目的:
- 调查董事会认证麻醉师目前在日本各地提供劳动神经轴痛解 (LNA) 的参与.
- 为了比较由麻醉科医生和产科医生领导的设施之间的机构特征和镇痛实践.
主要方法:
- 通过使用出生-Navi注册 (2024年8月) 全国横截面研究.
- 提供LNA的设施根据负责的医生进行分类:经过董事会认证的麻醉师 (A组) 或妇产科医生 (O组).
- 奇平方测试被用来比较两个组之间的机构特征和镇痛实践.
主要成果:
- 在提供LNA的771个符合条件的设施中,只有27.2%的医生将董事会认证的麻醉师列为负责医生.
- 组A的设施更有可能是医院,并利用结合脊柱-表皮技术.
- 然而,与O组 (47.1%) 相比,A组的24小时LNA可用性明显较低 (25.9%),只有13.8%的设施根据要求提供24小时止痛.
结论:
- 麻醉师领导的LNA在日本是有限的,尽管技术先进,但很少提供24小时的可用性.
- 系统层面的策略,包括人员重新分配和远程麻醉网络,对于加强LNA访问和安全至关重要.
- 建议对协作模型进行进一步的研究,以改善全国范围内的产科麻醉护理.
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