无痛分娩不同麻醉方式对产妇泌乳功能及新生儿Apgar评分的影响

Effect of different anesthesia methods on lactation function and Apgar score of neonates in painless childbirth

目的:探讨无痛分娩不同麻醉方式对产妇泌乳功能及新生儿Apgar评分的临床相关影响,为无痛分娩的相关临床研究提供借鉴和参考依据。方法:选取自愿接受无痛分娩的产妇108例为研究对象,根据产妇麻醉方式的不同分为研究组和对照组各54例。研究组患者实施罗哌卡因复合舒芬太尼腰-硬联合阻滞,对照组患者实施罗哌卡因复合舒芬太尼硬膜外麻醉,观察比较两组产妇的初乳时间、母乳量充足时间、24h泌乳量情况和两组新生儿出生后1、5、10min的Apgar评分结果等指标。结果:研究组产妇的初乳时间早于对照组产妇,组间差异有统计学意义(P<0.05);研究组达到有效泌乳量的产妇49例,对照组达到有效泌乳量的产妇39例,研究组的有效泌乳量比例比对照组更高,且差异有统计学意义(P<0.05)。结论:在临床产妇无痛分娩的过程中,采用罗哌卡因复合舒芬太尼腰-硬联合阻滞麻醉方式的临床效果显著,是临床麻醉过程中的理想方式之一。

Objective To investigate the effect of different anesthesia methods on the lactation function and neonatal Apgar Scone clinical correlation, and to provide reference and reference for clinical research of painless childbirth. Methods 108 cases in our hospital of painless childbirth puerperal were selected as the object of study. According to the different ways of anesthesia, they were divided into the research group and the control group. They were treated with ropivacaine combined with sufentanil combined spinal epidural anesthesia and epidural anesthesia with ropivacaine plus sufentanil. The two groups of maternal colostrum time, breast milk time, 24h milk amount and the two groups of neonatal birth after 1, 5, 10min Apgar score and other observation indicators were observed and compared. Results The study group of maternal colostrum time early in mothers in the control group, the comparison of data between groups differences have statistical significance （P 〈 0. 05） ; study of 49 cases of maternal lactation amount reach group of 54 cases of pregnant women, in 39 cases of maternal lactation amount reach group of 54 cases of maternal control, proportion of lactation between group comparison study group was significantly higher than that of control group, and the difference is statistically significant （P 〈 0. 05）. Conclusion In the process of clinical painless parturition with ropivaeaine combined with sufentanil combined spinal epidural block anesthesia clinical effect is remarkable and is one ideal way in the process of clinical anesthesia.