剖宫产术后硬膜外自控镇痛与辅乳器诱导新生儿早吸吮对产妇泌乳素的影响分析

Analysis on influence of post-cesarean-section self-control epidural analgesia and suckling-assist apparatus induced early sucking of newborns on prolactin of parturient

[目的]探讨剖宫产术后硬膜外自控镇痛(PCEA)与辅乳器诱导新生儿早吸吮对产妇泌乳素(PRL)的影响。[方法]将150例足月妊娠剖宫产的产妇随机分成3组,每组50例,分别为PCEA+辅乳器组、PCEA组和对照组。对3组产妇术后VAS评分、术前术后PRL值的变化、术后泌乳时间、肛门排气时间及早吸吮成功率进行比较。[结果]PCEA+辅乳器组、PCEA组产妇术后VAS评分、术后PRL变化、产妇泌乳时间及肛门排气时间与对照组比较均有统计学意义(P<0.05)。[结论]剖宫产术后应用PCEA能促进病人康复和产妇PRL的分泌,加用辅乳器诱导新生儿早吸吮能进一步促使PRL及乳汁早分泌。

Objective： To probe into the influence of post--cesarean--section self-control epidural analgesia （PCEA） and suckling--assist apparatus induced early sucking of newborns on prolactin （PRL） of parturient after cesarean section. Methods： A total of 150 puerperas of pregnancy at term and undergoing cesarean section were randomly divided into three groups （50 cases each）. That was PCEA plus suckling-assist apparatus group, PCEA group and control group respectively. Indexes including the postoperative VAS scorings, changes of preoperative and postoperative PRL value, postoperative lactation time, passage of gas by anus time and achievement ratio of early--sucking of newborns were compared among parturient of the three groups. Results： There was statistical significant difference in terms of postoperative VAS sco- ring, changes of preoperative and postoperative PRL value, postoperative lactation time, passage of gas by anus time and achievement ratio of early-sucking between PCEA ＋ suckling-assist apparatus group and control group and between PCEA group and control group （P〈0. 05）. Conclusion： Applying PCEA could promote patients＇ rehabilitation and secretion of PRL of parturient. Combined applying suckling--assist apparatus to induce neonatal early-sucking can further stimulate PRL and milk secreting eariier.