硬膜外持续吗啡镇痛用于剖宫产术后的临床观察

The clinical observation continuous epidural morphine analgesia after cesarean section

目的观察硬膜外持续吗啡镇痛用于剖宫产术后的效果以及对泌乳、肠蠕动等方面的影响。方法选择40例行剖宫产术的孕妇,年龄22～36岁,ASAⅠ-Ⅱ级。随机分为两组,每组20例。试验组(硬膜外持续吗啡镇痛)和对照组(术后按需肌内注射杜冷丁)。通过观察其镇痛、镇静的效果以及对泌乳、肠蠕动的影响。结果两组各时点VAS镇痛、镇静评分,泌乳时间,首次肛门排气时间有显著性差异。结论硬膜外持续吗啡镇痛用于剖宫产术后效果满意,且能促进泌乳和胃肠蠕动功能的恢复,利于新生儿的早期母乳喂养。

Objective To observative the continuous epidural morphine analgesia alter cesarean section on lactation, as well as the effect of intestinal peristalsis and so on. Methods 40 cases underwent cesarean pregnant women,aged 22 - 36 years, ASA Ⅰ- Ⅱ. 40 cases were randomly divided into two groups, 20cases in each group. The test group （continuous epidural morphine analgesia）and control group （postoperative by intra- muscular injection of pethidine）. Through the observation of the analgesic, sedative effects as well as on lacta- tion, intestinal peristaltic effect. Results Each of the two groups at VAS analgesia, sedation score, the time of lactation,first time anal exhaust time have significant difference. Conclusion Continuous epidural morphine analgesia in cesarean section postoperative results were satisfactory, and can promote lactation and gastrointesti- nal peristaltic function recovery, early breast feeding for neonates.