腰麻-硬膜外联合麻醉分娩镇痛对产妇泌乳的影响  

Effect of Combined Spinal-epidural Anesthesia During Delivery on the Lactation of Paturients

作　　者：贾丽英[1] 刘吉平[1] 叶玉萍[1] 刘涌[1] 夏媛[1] 

机构地区：[1]佛山市妇儿医院麻醉科手术室,广东佛山528000

出　　处：《护理学杂志》2006年第16期9-10,共2页

基　　金：2004年度佛山市卫生局医学科研立项课题(2004190)

摘　　要：目的探讨腰麻-硬膜外联合麻醉(CSEA)分娩镇痛对产妇泌乳的影响。方法将360例无妊娠合并症、并发症及无乳腺发育缺陷及内分泌疾病的初产妇,按自愿原则分为对照组和观察组,每组180例。对照组按产科常规处理,产妇生产过程中不给予任何镇痛药物;观察组于生产过程中施行CSEA分娩镇痛。分别于产后24、48、72h测定血清泌乳素浓度,观察两组产妇产后开始泌乳时间及泌乳量,采用视觉模拟评分方法(VAS)评估镇痛效果。结果观察组宫缩时VAS评分显著低于对照组(均P<0.01);两组产妇产后血清泌乳素浓度、开始泌乳时间及泌乳量比较,差异无显著性意义(均P>0.05)。结论实施CSEA分娩镇痛可减轻产妇产时疼痛,且不会影响产后泌乳,有助于母乳喂养成功。Objective To examine the effect of combined spinal-epidural anesthesia （CSEA） during delivery on the lactation of paturients. Methods Three hundred and sixty primipara without pergnancy-related complications, breast dysplasia and endocrinopathy were divided into a control group and an experimental group on voluntary basis, with 180 women in each group. The control group received routine oberstetrical treatment without any analgesics given during labor. In the experimental group, the CSEA was used during delivery. The prolatin level was determined 24, 48 and 72 hours after delivery. The beginning time and the amount of lactation were observed and the analgestic effect was evaluated by visual analogue scale （VAS）. Results The VAS scores during the labor of the experimental group were significantly lower than those of the control group （P〈0.01 for all）. There were no significant differences between the two groups in beginning time and the amount of lactation （P〉0. 05 for all）. There was no significant difference in the level of prolactin between the two groups （P〉0.05）. Conclusion CSEA can ease the pain of pregnant women during labor without affecting the post-delivery lactation.

关 键 词：产妇 泌乳素 分娩 镇痛 

分 类 号：R473.71[医药卫生—护理学]