剖宫产术后PCEA对血浆泌乳素的影响  

Influence by PCEA after cesarean section on plasma prolactin

作　　者：陈艳[1] 周细明[2] 

机构地区：[1]广东省佛山市南海区第七人民医院妇产科,528247 [2]广东省佛山市南海区第七人民医院麻醉科,528247

出　　处：《中国实用医药》2016年第27期12-13,共2页China Practical Medicine

摘　　要：目的探讨剖宫产术后患者自控硬膜外镇痛(PCEA)对血浆泌乳素(PRL)的影响。方法 60例足月择期行剖宫产术孕妇,随机分为观察组和对照组,各30例。观察组关腹后行PCEA,对照组关腹后拔出硬膜外管道。对比两组PRL水平及镇痛效果。结果观察组术后4、12、24、48 h视觉模拟评分法(VAS)评分[(1.5±0.6)、(1.4±0.3)、(1.0±0.2)、(0.8±0.1)分]均低于对照组(P<0.01)。术后PRL水平均较术前升高,观察组升高程度优于对照组(P<0.05或0.01);观察组初乳时间[(30.16±4.48)h]早于对照组[(35.85±4.48)h](P<0.05)。结论剖宫产术后PCEA效果确切安全,能促进PRL分泌,提前初乳时间。Objective To investigate influence by patient controlled epidural analgesia（PCEA） after cesarean section on plasma prolactin（PRL）. Methods A total of 60 full term pregnant women, who received cesarean section, were randomly divided into observation group and control group, with 30 cases in each group. The observation group received PCEA after abdomen-closing, and the control group received epidural extubation after abdomen-closing. PRL levels and analgesic effects were compared between the two groups. Results The observation group had all lower visual analog scale（VAS） scores in postoperative 4, 12, 24, 48 h [（1.5±0.6）,（1.4±0.3）,（1.0±0.2）,（0.8±0.1） points] than the control group（P〈0.01）. Both groups had higher postoperative PRL levels than those before operation, and the observation group had better increasing level than the control group（P〈0.05 or 0.01）. The observation group had earlier colostrum time [（30.16±4.48） h] than the control group [（35.85±4.48） h]（P〈0.05）. Conclusion Implement of PCEA after cesarean section is safe with precise effect. This method can accelerate PRL secretion and advance colostrum time.

关 键 词：剖宫术 患者自控硬膜外镇痛 泌乳素 

分 类 号：R719.8[医药卫生—妇产科学]