答：所有从椎管内镇痛或麻醉中恢复的患者应接受相适应的麻醉后医疗管理。根据美国妇产科医师学会(American College of Obstetricians and Gynecologists, ACOG)和妇女健康、产科和新生儿护士协会(Association of Women’s Health, Obstetric and Neonatal Nurses, AWHONN)规范，在阴道分娩后的产后观察期间，应至少每15分钟监测一次血压和脉搏，持续两个小时，但如果出现并发症，应更频繁地监测，持续时间更长[3, 4]。剖宫产麻醉后或为疑难的阴道分娩提供硬膜外手术麻醉后，需要采用标准的麻醉后复苏管理。
[1]Practice Guidelines for Obstetric Anesthesia. An Updated Report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and Perinatology. Anesthesiology, V 124, No 2, 2016.
[2]Standards for Basic Anesthetic Monitoring. Developed by the ASA Committee on Standards and Practice Parameters. Last amended October 28, 2015.
[3]Postpartum Care of the Mother, Chapter 8. In Kilpatrick SJ and Papile L (Eds.) Guidelines for Perinatal Care (8th Edition). Published by The American Academy of Pediatrics and The American College of Obstetricians and Gynecologists, 2017
[4]Immediate Postpartum Care. Analgesia and Anesthesia in the Intrapartum Period, an Evidence-Based Clinical Practice Guideline. Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN). p S45, 2020.
[5]Yentis SM, et al. Safety guideline: neurological monitoring associated with obstetric neuraxial block 2020. A joint guideline by the Association of Anaesthetists and the Obstetric Anaesthetists’ Association. Anaesthesia 2020, 75, 913–919.
中文引用｜ 梁雪静，刘宇燕，蔡贞玉. 指南针┃ASA：椎管内阻滞或产科麻醉规范. J NPLD-GHI. 2022 July 8;12(1):8.
英文引用｜Liang XJ, Liu YY, Cai ZY. Guidelines for Neuraxial Analgesia or Anesthesia in Obstetrics. J NPLD-GHI. 2022 July 8;12(1):8.
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