剖宫产术后硬膜外持续自控泵镇痛对产妇泌乳及胃肠功能恢复的影响

Effect of Patient Controlled Epidural Analgesia after Caesarean Operation on Secretion of Breast Milk and Recovery of Stomach and Intestines Function of the Mothers

目的探讨剖宫产术后硬膜外持续自控泵镇痛(patient controlled epidural analgesia,PCEA)对产妇泌乳及胃肠功能恢复的影响。方法将100例剖宫产术后产妇随机分为两组,PCEA组50例,肌内注射镇痛剂组50例,观察两组产妇产后泌乳时间、肠鸣音恢复时间及肛门排气时间。结果PCEA组产后泌乳时间显著早于肌内注射镇痛组(P<0.01),而术后肠鸣音恢复时间和肛门排气时间无显著性差异(P>0.05)。结论PCEA能促进泌乳,有利于新生儿早期母乳喂养,不影响产妇胃肠功能的恢复。

Objective To discuss the effect of patient controlled epidural analgesia （PCEA） after caesarean operation on secretion of breast milk and recovery of stomach and intestines function of the mothers. Methods One hundred mothers who have received Caesarean operations were evenly randomized into 2 groups：PCEA group and control group （regular intramuscular injection for an- algesia）. The milk secreting time, recovery of bowel sound, and anus exhaust time were observed and compared between the 2 groups. Results Milk secretion time was earlier in PCEA group than in the control group （ P 〈0.01） ; the bowel sound and anus exhaust time were similar between the 2 groups. Conclusion PCEA can promote the secretion of breast milk, which allows the babies to receive earlier breast feeding; meanwhile, PCEA has no influence on the recovery of the mothers＇ intestine functions.