舒芬太尼联合罗哌卡因术后镇痛对剖宫产产妇泌乳素的临床效果观察  

Clinical Effect of Sufentanil Combined with Ropivacaine on Postoperative Prolactin in Parturients Undergoing Cesarean Section

作　　者：林雅丽[1] 丁艺[1] 覃淼 LIN Yali DING Yi QIN Miao(The First Affiliated Hospital of Guangxi Medical University, Guangxi Nanning 530023, Chin)

机构地区：[1]广西中医药大学第一附属医院,广西南宁530023

出　　处：《河北医学》2017年第6期948-951,共4页Hebei Medicine

基　　金：中华医学会麻醉学分会力邦麻醉科学研究基地科研项目;(编号:CSA2013LB009)

摘　　要：目的:探讨剖宫产产妇术后镇痛中应用舒芬太尼与罗哌卡因后母乳以及新生儿情况。方法:选取近1年内在我院选择剖宫产分娩的单胎足月产妇200例,随机平均分为两组,分别选择舒芬太尼联合罗哌卡因硬膜外术后镇痛与哌替啶间断肌肉注射镇痛。结果:观察组产妇术后VAS视觉模拟疼痛评分低于对照组(P<0.05),术后血浆泌乳素水平升高高于对照组(P<0.05)。观察组产妇初乳时间相比对照组缩短(P<0.05),哺乳次数相比对照组增加(P<0.05)。结论:舒芬太尼联合罗哌卡因硬膜外术后镇痛能够有效缓解剖宫产的术后疼痛,提高产妇血液中泌乳素水平,改善术后母乳状况,对新生儿无不良影响。Objective：To investigate the application of sufentanil and ropivacaine in postoperative analgesia for cesarean section and neonatal conditions.Methods： 200 cases of cesarean section delivery of singletons full-term birth admitted nearly 1 year in our hospital were randomly divided into two groups, respectively selected sufentanil combined with ropivacaine, epidural analgesia and pethidine intermittent intramuscular injection were used to relieve pain.Results： The visual analogue pain score of VAS in the observation group was significantly lower than that in the control group （P 〈 0.05）, and the level of plasma prolactin after operation was obviously increased due to the control group （P 〈 0.05）.The colostrum time of the observation group was significantly shorter than that of the control group （P 〈 0.05）, and the number of breast feeding was significantly higher than that of the control group （P 〈 0.05）.Conclusion：Sufentanil combined with ropivacaine epidural analgesia can effectively relieve the pain after cesarean section, improve prolactin levels in maternal blood, improve breast milk status, and have no adverse effects on the newborn.

关 键 词：舒芬太尼 罗哌卡因 术后镇痛 剖宫产 泌乳素 

分 类 号：R614[医药卫生—麻醉学]