硬膜外自控镇痛对剖宫产后产妇泌乳功能的影响

Effect of PCEA on lactating function of parturient women after cesarean section

目的:观察硬膜外自控镇痛(PCEA)对剖宫产后产妇泌乳功能的影响。方法:2008年1月～2009年1月,92例剖宫产产妇分为两组,观察组52例采用硬膜外自控镇痛(PCEA),对照组40例采用肌肉注射哌替啶,比较观察两组的镇痛效果及对泌乳的影响。结果:观察组的优良率明显高于对照组,两组比较差异有统计学意义(P<0.05)。观察组的初乳时间明显早于对照组,日哺乳次数明显多于对照组,两组比较差异有统计学意义(P<0.05)。观察组治疗后泌乳素水平明显升高,与治疗前比较差异有统计学意义(P<0.05),并且明显高于同期对照组(P<0.05)。结论:PCEA对剖宫产术后产妇的镇痛效果良好,同时可以减少因疼痛引起的泌乳功能下降,有利于产妇的康复和新生儿母乳喂养。

Objective：To observe the effect of patient controlled epidural analgesia（PCEA） on lactating function of parturient women after cesarean section.Methods：92 parturient women choosing cesarean section from January 2008 to January 2009 were divided into two groups,52 cases in observation group chose PCEA and 40 cases in control group chose intramuscular injection of pethidine,the analgesic effects and the effects on lactating function in the two groups were compared and observed.Results：The good rate in observation group was significantly higher than that in control group（P〈0.05）.The colostrum time in observation group was significantly shorter than that in control group,and the lactation times per day in observation group was more than that in control group（P〈0.05）.The level of prolactin in observation group after treatment was significantly higher than those in observation group before treatment and control group before treatment（P〈0.05）.Conclusion：The analgesic effect of PCEA is good for the parturient women after cesarean section,and PCEA can inhibit the decrease of lactating function induced by pain,which is good for maternal rehabilitation and neonatal breastfeeding.