摘要
目的探讨剖宫产后硬膜外镇痛对新生儿神经行为的影响，方法：选择90例单胎足月妊娠剖宫产孕妇，ASAⅠ-Ⅱ级，随机分为镇痛A组、镇痛B组和对照组。结果镇痛组的产后开奶时间及24小时内哺乳次数的统计情况均好于对照组；各组新生儿术后不同试点NACS评分均大于35分，组间差异不具有统计学意义：未见不良反应。结论剖宫产术后应用镇痛药可以促进早开奶，对以母乳喂养的新生儿的神经行为无不良影响，临床上可使用。
Objective ： To evaluate epiduaral analgesia（PCEA）on adaptive capacity scores（NACS） after cesarean section. Methods Choose 90 ASAⅠ-Ⅱ primipara with a full term singleton fetus in the vertex presentation were equally and randomly divided into three groups, include eases the pain.A group, eases the pain B level of and the control group.Results ： Two analgesia group post-natal 24h opens the milk example number to be higher than the control group. Three group of newborns are bigger than in during various points in time nerve and the adaptiveness grading value for 35 minutes, three group of comparison differences do not have the significance .It does not have any complications.Conclusion：Postoperative patient controlled epidural analgesia can bereliable, and can opens the milk early, favors breast-feeding. The PCEA with morphine mentioned above can be safe for neonatesin parturients after cesarean section.
