种族和性别平等对使用分娩外周止痛药的影响:一项回顾性研究
Adele Macgregor1, Andrew McCombie2, Elizabeth Hall1
1Department of Anaesthesia, Christchurch Hospital, Te Whatu Ora-Waitaha Canterbury, Aotearoa, New Zealand.
Anaesthesia
|January 23, 2026
概括
在新西兰阿特罗亚的毛利和太平洋妇女在分娩期间经历了较低的外周止痛率. 这种差异凸显了产科护理中的不平等,需要进一步调查有效的疼痛管理的进入障碍.
科学领域:
- 产科和妇科 产科和妇科
- 健康 公平 研究 健康 公平 研究
- 流行病学 流行病学
背景情况:
- 在新西兰奥特罗亚的产科护理中存在显著的种族差异.
- 毛利和太平洋地区的妇女面临更高的孕产妇和新生儿发病率和死亡率.
- 通过种族来调查外周止痛药的使用对于了解护理不平等至关重要.
研究的目的:
- 检查种族和外周止痛药的使用之间的关系.
- 为了识别毛利和太平洋地区妇女的外周支架供应的差异.
- 为未来关于公平疼痛管理障碍的研究提供信息.
主要方法:
- 在基督城医院对22,970例分娩进行了基于人口的回顾性队列研究.
- 对不同族群 (毛利族,太平洋族,欧洲族) 的外周支架使用情况的分析.
- 单变量和多变量逻辑回归分析按平价分层.
主要成果:
- 整体外周术率为23.1%;对于毛利族 (18.4%) 和太平洋地区 (9.9%) 的女性来说,这一比例更低.
- 在随后的分娩中,毛利妇女的外周术率较低 (OR 0.75).
- 与欧洲女性相比,太平洋地区的女性在所有平等性方面都显示出明显较低的比率 (primiparous OR 0.61, multiparous OR 0.18).
结论:
- 在患者人口统计学中,外周止痛药的使用存在差异.
- 公平获得有效的分娩疼痛管理需要进一步调查.
- 需要进行定性研究,以了解毛利和太平洋地区妇女外周止痛的障碍.
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