剖宫产术后硬膜外自控镇痛对产妇泌乳及术后恢复的影响  

Effect of Patient-Controlled Epidural Analgesia on lactescence in Parturients after Caesarean Section and renew after operation

作　　者：李蓉 李玉辉 陈毕蓝 林少环 洪珊儿 谢舜香 LI RONG, LI YU -HUI, CHEN BI- LAN, et al .（The Maternity and child Healthcare Hospital of ChaoZhou. ChaoZhou, Guang Dong 521000, China）

机构地区：广东省潮州市妇幼保健院,521000

出　　处：《中外健康文摘：医药月刊》2008年第6期547-549,共3页

摘　　要：目的研究剖宫产术后采用硬膜外自控镇痛（PCEA）对产妇泌乳及术后恢复的影响。方法：选取在本院行新式剖宫产的产妇200例，随机分为观察组（PCEA）和对照组（肌注盐酸哌替啶）。观察两组产妇术后疼痛、初次授乳时间、24、48h内哺乳次数、术后48h的泌乳素、肛门排气时间等情况。结果：硬膜外自控镇痛的镇痛效果好，产妇初次授乳时间提前，24、48h内哺乳次数增多、术后48h的泌乳素显著升高、肛门排气时间提前。结论：剖宫产术后采用硬膜外自控镇痛技术。镇痛效果好，使初次授乳时间提早，哺乳次数增加，胃肠道蠕动功能恢复快，是一种安全有效的措施。Objective： To observe the effect of patient-controlled epidural analgesia （PCEA） on lactescence in parturients after caesarean section and renew after operation. Method： 200 primiparous women were selected from our hospital, randomly divided into observed team （PCEA） and comparison team （muscle injection Pethidine Hydrochloride）. Observing the ache with two team of the patients after operation and the time of first lactation, the times of lactation after 24H and 48H, the situation of tactiation element, the time of break wind. Result： the effect of patient-controlled epidural analgesia is better, the time of first lactation is ahead, the times of lactation within 24, 48h is manifold, lactiation element is evidently increased, the time of break wind is ahead. Conclusion： Patient-Controlled Epidural Analgesia on lactescence in Parturients after Caesarean Section can be well controlled the ache, the time of first lactation is ahead, the lactation times is increased, the function of stomach and intestines peristalsis can be renewed soon, which is a safety and effective measure.

关 键 词：剖宫产 术后 硬膜外自控镇痛 泌乳 术后恢复 

分 类 号：R473.74[医药卫生—护理学;医药卫生—临床医学]