Введение

medsovet

Медицинский Совет

Meditsinskiy sovet = Medical Council

2079-701X2658-5790

REMEDIUM GROUP Ltd.

10.21518/ms2024-537

medsovet-8854

Research Article

ПРАКТИКА

PRACTICE

Отсроченные и долгосрочные последствия применения эпидуральной анестезии в родах: литературный обзор

Delayed and long-term effects of epidural anesthesia in childbirth: A literature review

https://orcid.org/0009-0008-0974-0730

Кодзоев

Р. Р.

Kodzoev

R. R.

Кодзоев Рашид Русланович - студент 2-го медицинского факультета…

295051, Симферополь, бульвар Ленина, д. 5/7

Rashid R. Kodzoev - Student of the 2nd Medical Faculty.

5/7, Lenin Ave., Simferopol, 295051

koazoyrashid@gmail.com

https://orcid.org/0000-0002-4350-5020

Ляшенко

Е. Н.

Lyashenko

E. N.

Ляшенко Елена Николаевна, к.м.н., доцент кафедры акушерства и гинекологии №2.

295051, Симферополь, бульвар Ленина, д. 5/7

Elena N. Lyashenko - Cand. Sci. (Med.), Associate Professor of the Department of Obstetrics and Gynecology No. 2.

5/7, Lenin Ave., Simferopol, 295051

helen.lyashen@mail.ru

Ордена Трудового Красного Знамени Медицинский институт имени С.И. ГеоргиевскогоРоссияOrder of the Red Banner of Labour Medical Institute named by S.I. GeorgievskyRussian Federation

2024

24012025

023281286

2024

Кодзоев Р.Р., Ляшенко Е.Н.

Kodzoev R.R., Lyashenko E.N.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.med-sovet.pro/jour/article/view/8854

Введение

Введение. В настоящее время наблюдается тенденция к учащению применения эпидуральной анестезии при родах, в связи с чем важно исследовать отсроченные и долгосрочные эффекты ее применения.

Цель

Цель. Исследовать наличие связи между такими состояниями, как дорсопатия, головная боль, недержание мочи и кала, послеродовая депрессия, дисфункция тазового дна в периоде после родов, и использованием эпидуральной анестезии, а также отсроченность развития и долгосрочность этих эффектов.

Материалы и методы

Материалы и методы. Посимптомный анализ клинических данных, включающих в себя рандомизированные и нерандомизированные исследования, когортные исследования, прои ретроспективные анализы, а также метаанализы, построенные на изучении взаимосвязи применяемых при родах методов анестезии и проявлением указанных симптомов. Поиск производился на таких платформах, как PubMed, Google Scholar, eLIBRARY.ru, по статьям, включавшим в себя информацию о долгосрочных (отсроченных) состояниях, развивающихся после эпидуральной анестезии при родах. В работу не были включены описания единичных клинических случаев, а также исследования, сообщавшие об эффектах после проведения эпидуральной анестезии не при родах.

Результаты

Результаты. Был проанализирован целый ряд исследований, в результате чего, несмотря на ряд противоречивых данных, при объективном рассмотрении полученной информации можно отметить, что такие проявления, как спинная, головная боль, недержание мочи и кала, дисфункция тазового дна и послеродовая депрессия, зачастую не коррелируют с использованием эпидуральной анестезии и не относятся ни к ее долгосрочным, ни к отсроченным эффектам. Часть эффектов, действительно, может проявляться, однако в таком случае их можно отнести скорее к категории краткосрочных: к таковым отчасти можно отнести спинную боль и задержку мочеиспускания. Не было обнаружено и статистически значимых данных о преимуществе эпидуральной анестезии в снижении риска послеродовой депрессии.

Выводы

Выводы. Необходимы дополнительные клинические исследования, отвечающие критериям достоверности, для более подробного рассмотрения вопроса.

Introduction

Introduction. There is a growing trend towards increasing the use of epidural analgesia during childbirth. Therefore, it is important to explore the delayed and long-term consequences of its application.

Aim

Aim. To investigate the association between conditions such as back pain, headache, incontinence (urinary and fecal), postpartum depression, and the use of epidural anaesthesia, as well as any delays in the development of these conditions and their long-term impact.

Materials and methods

Materials and methods. Symptomatic analysis of clinical data, including randomized and non-randomized studies, cohort studies, prospective and retrospective analyses, as well as meta-analyses based on the study of the relationship between anesthesia methods used during childbirth and the development of these symptoms. The search was conducted on platforms such as PubMed, Google Scholar, and eLIBRARY.ru for articles that contained information about long-term conditions developing after epidural anesthesia during childbirth. The study did not include descriptions of individual clinical cases, nor did it include studies that reported effects after epidural anesthesia that were not during childbirth.

Results

Results. A number of studies have been analyzed. Despite some contradictory data, an objective review of the information received suggests that manifestations such as back pain, headaches, urinary and fecal incontinence, pelvic floor dysfunction and postpartum depression do not always correlate with the use of epidural anesthesia. These symptoms do not seem to be related to its long-term or delayed effects. While some effects may occur, these can be better classified as short-term. For example, back pain and urinary retention may be experienced. Additionally, there was no statistically significant evidence to suggest that epidural anesthesia reduces the risk of postpartum depression.

Conclusion

Conclusion. Further clinical studies that adhere to rigorous standards of reliability are needed to provide a more comprehensive understanding of this issue.

эпидуральная анестезиядолгосрочные эффекты анестезииспинная больпослеродовая головная больэнурездисфункция тазового днапослеродовая депрессия

epidural anesthesialong-term effects of anesthesiaspinal painpostpartum headachepelvic floor dysfunctionurinary incontinencepostpartum depression

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The authors declare that there are no conflicts of interest present.