护理干预剖宫产及硬膜外吗啡术后镇痛对产妇泌乳的影响  

The effect of nurse on the lactation of extradural morphine analgesia after caesarean section

作　　者：徐玲[1] 陈方焘[1] 

机构地区：[1]莱西市中医医院,山东菜西266600

出　　处：《现代保健（医学创新研究）》2007年第08Z期3-4,共2页

摘　　要：目的观察剖宫产、硬膜外吗啡术后镇痛产妇的泌乳状况及血清泌乳素（PRL）变化。方法足月产妇240例均分为四组：Ⅰ组术毕行硬膜外吗啡镇痛；Ⅱ组术毕行硬膜外吗啡镇痛，24h后追加一次；Ⅲ组未行术后镇痛；阴道自然分娩60例为Ⅳ组。240例产妇产前、产后均进行护理干预、科学宣传，实行母婴同室和纯母乳喂养。结果产后5min、24h及48h内开始泌乳及72h泌乳分泌不足发生率与剖宫产组相比无差异。结论由于护理干预，剖宫产及硬膜外吗啡术后镇痛不影响产妇母乳喂养的成功率。Objective Observe the lactation and the change in the senmo prolactin of extradimal morphine analgesia after caesarean section. Methods The 240postpartum womer of term delivery are divided into four groups ; lgroup given extradural morphine analgesia after caesarean section Ⅱ group given extradural morphine analgesia after caesarean section, once again after 24hours. Ⅲ group;giver nothing after cacsarean section, IVgroup the normal contrast is 60postpartum women If vaginal normal delivery. The 240postpartum women are all nursed and given scientific publicity to maternal bonding to new born and tota breastfeeding at both antepartum and postpartum period. Results Among four groups there was no significant difference in PRL levels at 5rain, in 24 and 48h postpartum. The incidence of beginning lactation in 24h postpartum was higher in the natural labor group than that in all women undergoing the cesarean section, but the lactation in 48h postpartum cantly different a- mong groupⅠ , Ⅱ and Ⅲ. Conclusion The extradural morphine analgesia after caesarean section has no the successful breastfeeding because of nursing.

关 键 词：镇痛 吗啡硬膜外 剖宫产 泌乳素 护理干预 

分 类 号：R473.71[医药卫生—护理学]