剖宫产术后自控镇痛联合辅乳器诱导新生儿早吸吮对产妇泌乳的影响(200例临床观察)  

Combined effects of painless electronic pump and breast-feeding device on prolactin of postcesarean women

作　　者：黄秀兰[1] 朱启兰 

机构地区：[1]北京市房山区良乡医院妇产科,北京102401 [2]山东省菏泽卫生学校,山东菏泽274300

出　　处：《临床和实验医学杂志》2005年第2期82-84,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨剖宫产术后硬膜外自控镇痛(PCEA)联合辅乳器诱导新生儿早吸吮对产妇泌乳的影响。方法选择足月妊娠拟剖宫产产妇200例,均于L2～3施行连续硬膜外阻滞麻醉。PCEA方案为150ml药液(含0.75%布比卡因20ml,芬太尼0.5mg,)术后连接电子镇痛泵,镇痛48h。诱导哺乳方法,无毒无菌的塑料袋内盛入乳液,末端连接无菌软管,紧帖乳头固定于乳晕上方2cm处,使软管与乳头一起送入新生儿口中,挤压无菌袋,使乳液进入新生儿口中,诱导吸吮。结果PCEA能有效镇痛,辅乳器诱导新生儿早吸吮能增强吸吮反射,早吸吮成功率提高到95%,二者协同作用下使泌乳素(PRL)分泌增加,泌乳时间提前。结论PCEA是一种安全有效的镇痛方法,并能促使产妇尽早分泌乳汁,联合辅乳器诱导新生儿早吸吮能进一步促使泌乳素及乳汁早分泌,从而提高母乳喂养成功率。Objectives To investigate the enhanced impact of combined painless electronic pump with breast-feeding device on prolactin(PRL) of postcesarean women. Methods Two hundred of postcesarean women were divided randomly into 4 different treatment groups:(1)control group;(2)painless electronic pump alone;(3) breast-feeding device alone;(4)painless electronic pump plus breast-feeding device.The amount of prolactin and the success rate of breast-feeding were compared in above 4 groups. Results Compared with painless electronic pump group or breast-feeding device alone,the amount of prolactin and the success rate of breast-feeding were increased significantly in combined group(P<0.05). Conclusion Combined treatment of painless electronic pump and breast-feeding device is more effective than either of the two devices alone.It can be used clinically to improve the success rate of breast-feeding.

关 键 词：自控镇痛 辅乳器 早吸吮 母乳喂养 剖宫产 新生儿 产妇 泌乳功能 

分 类 号：R719.8[医药卫生—妇产科学] R614.42[医药卫生—临床医学]