剖宫产术后镇痛对母乳喂养影响的研究

Study on the Effect of Controlled Analgesia on Mother Milk Feed after Cesarean Section

目的:探讨剖宫产后使用不同镇痛方法,对母乳喂养的影响。方法:将无妊娠合并症及母乳喂养禁忌症的剖宫产产妇分为两组,选取自愿应用自控镇痛泵(PCA)的剖宫产产妇80例,作为观察组,同期行剖宫产采用传统方法镇痛,肌肉注射哌替啶的产妇80例作为对照组。观察两组术后镇痛的效果,术后3天乳汁是否充足,母乳喂养次数,母乳喂养知识的掌握情况。结果:观察组12h、24h的镇痛效果显著高于对照组(P<0.01),母乳喂养次数、母乳喂养知识的掌握观察组明显高于对照组(P<0.05);两组有显著差异,有统计学意义。结论:剖宫产术后使用自控镇痛泵(PCA),能有效地镇痛,使产妇尽快适应母亲角色,掌握母乳喂养方法,提高母乳喂养率。

Objective：To investigate the effects of patient-controlled analgesia（PCA） on the mother milk feed to keep after cesarean section.Methods：160 full-term pregnant women without gestation merger disease and breast-feed contraindication undergoing cesarean section were randomly divided into study group and control group.After the operation,the PCA was joined to the tube of epidural anesthesia.The control group injected dolantin to ease pain after operation.We observed the analgesia effects,whether human milk would be ample three days after the operation,mother the milk feed to keep number of times,mother the milk feed to keep knowledge of control circumstance.Results：The analgesia effects 12 and 24 hour after the operation were obvious in study group（P〈0.01）,mother the milk feed to keep number of times,mother the milk feed control of keep the knowledge in the study group is obvious higher than that in the control group（P〈0.05）;There was obvious diffence between them and have already statisticsed to learn meaning.Conclusion：As PCA after cesarean section,this method can be valid to ease pain,make pregnant woman as soon as possible orientation mother＇s role,control mother the milk feed to keep a method,raise mother the milk feed to keep a rate.