????? 许多医院产科医师和麻醉科医师合作开展椎管内麻醉分娩镇痛已经多年，但依然未成规模，究其原因，人员紧张和科室协调成为制约我国椎管内分娩镇痛广泛开展的瓶颈之一。这是由于参与分娩镇痛的人员虽然职能明晰，但缺乏协调机制，具体工作中又容易脱节所致。在助产士中建立以护士为基础、以麻醉医师为督导的急性疼痛服务体系有良好的理论和工作基础，有助于优化工作流程，提高工作效率，保证产妇安全，推动这一工作的进一步开展。

????? It has been several years since epidural labor analgesia was launched in many hospitals with the cooperation of Obstetricians and Anesthesiologists，but this job’s prosperous development is seldom in clinical work. HR shortage and inadequate departments’ coordination have been the most important factors to limit the development of labor analgesia in China. The whole process is most likely divided into several totally independent parts without effective coordination because the staff’s jobs are so different. To build Nurse-based, Anesthesiologist-supervised Acute Pain Service system may get the work more reasonablely and efficiently because of its proper theoretic and practical foundation, to make sure the maternal more safely and push the job more developed.