摘要
目的观察剖宫产术后不同镇痛方法对产妇泌乳的影响。方法75例剖宫产产妇随机分为硬膜外镇痛组(A组)、静脉镇痛组(B组)和肌注镇痛组(C组),每组25例。观察术后12、24、48hVAS评分、泌乳情况及血浆泌乳素(PRL)水平。结果A组和B组镇痛效果明显优于C组(P<0.05),术后48hPRL水平也明显高于C组(P<0.05),且初乳时间明显提前。结论硬膜外镇痛或静脉镇痛效果优于哌替啶肌注,可提高血浆泌乳素水平,有利于提高母乳喂养成功率。
Objective To study the effect of different methods of postoperative analyesia on lactation in women after cesarean section. Methods Seventy-five patients were randomly divided into three groups with 25 cases each. The patient-controlled epidural analgesia（PCEA） was used for postoperative analgesia in group E, the patient-controlled intravenous analgesia（PCIA） in group I, and intramuscularly injection of pathididne as needed in group C. The plasm level of prolactin was measured with radioirnmunoassay at 12 h, 24 h and 48 h during analgesia. VAS score and lactation were recorded at the same time points. Results The VAS scores of group E and I were significantly lower than those of group C（P〈0.05）. The plasma level of prolactin at 48 h during analgesia was significantly higher in group E and I than that in group C （P〈0. 05）. The lactation was earlier in group E and I than that in group C as well. Conclusion PCEA or PCIA provides better postoperative analgesia and earlier lactation than analgesia with pathidine injection in the patients after caesarean section.
出处
《临床麻醉学杂志》
CAS
CSCD
北大核心
2009年第7期606-607,共2页
Journal of Clinical Anesthesiology
关键词
硬膜外镇痛
静脉镇痛
泌乳素
剖宫产
Epidural analgesia
Intravenous analgesia
Prolactin
Caesarean section
