分娩镇痛促进母乳喂养的临床护理研究

AN ANALYSIS OF THE INFLUENCE OF CONTINUOUS PERIDURAL ANESTHESIA ON BREAST FEEDING

目的研究硬膜外阻滞分娩镇痛、母乳喂养的健康教育对母乳喂养的影响,以提高产科质量、促进母乳喂养。方法随机选择2001～2003年7月住院阴道分娩无产科并发症、合并症的健康孕妇170例,采用持续硬膜外阻滞分娩镇痛产妇96例为观察组,未采用分娩镇痛及产后镇痛产妇74例为对照组。观察两组产妇产后精神状态、泌乳始动时间、泌乳量,所得资料进行统计学处理。结果①观察组产后产妇精神状态明显优于对照组,差异有显著性(P<0.001);②观察组产后泌乳始动时间短于对照组,72小时内泌乳量多于对照组,差异有显著性(P<0.05)。结论①分娩镇痛及产后镇痛其镇痛效果确切,改善产妇的精神状态,促进母乳喂养。②实施一条龙的母乳喂养宣教服务、护理小组监督实施宣教和指导工作,可巩固和提高母乳喂养成功率。

Objective To explore the influence of continuous peridural anesthesia and health education on breast feeding in order to improve obstetries quality and to promote breast feeding. Methobs 170 eases of healthy women of hospitalization vagina parturition without obstetries complications during the year 2001 to July 2003 were randomly analyzed. Divided them into two groups： anesthesia group, 96 eases with continuous peridural anesthesia; control group, 74 eases without continuous peridural anesthesia and postpartum analgesia. The postpartum mental state, the starting time of lactation and the lactation quantity between the two groups were handled statistically. Results 1 The postpartum mental state of the anesthesia group was better than that of the control group. There was significant difference between them （ P 〈 0.001 ）. 2 The anesthesia group had shorter starting time of lactation and more lactation quantity within 72 hours than those of the control group. There was significant difference between them. （ P 〈 0.05）. Conclusion 1 Peridural anesthesia and postpartum analgesia are effective and safe. They can improve the mental state of parturient, and promote breast feeding. 2. Implementing a connected service sequence of propaganda and education of breast feeding, supervising the enforcement of the jobs by the nursing groups can consohdate and increase the success rate of breast feeding.