罗比卡因用于剖宫产硬膜外镇痛术后对产妇泌乳的影响与观察

Ropivacaine for epidural analgesia after cesarean section on maternal lactation with the impact and observation

目的:观察剖宫产术后产妇使用罗比卡因进行硬膜外镇痛对产妇初乳出现的时间和量的影响。方法:选择进行剖腹产46例、年龄在20～28周岁、头胎、无其他并发症的产妇为研究对象。随机分为两组,镇痛泵组于术后以罗比卡因行硬膜外镇痛;对照组于术后使用双氯芬酸钠栓或使用杜冷丁镇痛。采用询问粗浅的评估镇痛效果并记录产妇的乳胀出现时间、开始泌乳时间、24h母乳喂养次数等。结果:两组产妇各项指标比较差异均有统计学意义(P<0.05)。结论:剖宫产术后用罗比卡因行硬膜外镇痛效果显著、平稳安全,可提高母乳喂养的成功率。

Objective To observe the effect of ropivacaine after cesarean section for maternal use of epidural analgesia on emergence time and amount of colostrum impact.Methods 46 cases of cesarean delivery options,aged 20 to 28 years old,first child,no other maternal complications in this study.Randomly divided into two groups,analgesia pumps in postoperative epidural analgesia with ropivacaine;the control group was to use diclofenac or pethidine analgesia.Superficial assessment by asking the analgesic effect of maternal milk and record the time inflation appears to begin lactation,24 h breastfeeding frequency.Results Both the maternal indicators were significantly different（P0.05）,with statistical significance.Conclusion The cesarean section with epidural analgesia of ropivacaine significantly,smooth and safe,can improve the success rate of breastfeeding.