摘要
目的 探讨剖宫产术后硬膜外镇痛对产妇及泌乳素的影响。方法 选择足月单胎妊娠剖宫产产妇 160例 ,随机分为观察组 80例和对照组 80例 ,观察组采用硬膜外导管镇痛泵给药 ,对照组肌肉注射哌替啶 ,两组均用放射免疫分析法测定血浆泌乳素浓度 ,采用伤口疼痛视觉模拟评分测定镇痛效果。结果 观察组的镇痛效果优于对照组 (P <0 .0 5 ) ;恶心呕吐的发生率低于对照组 (P <0 .0 5 ) ,血浆泌乳素水平高于对照组 ( P <0 .0 5 ) ;两组阴道出血量观察差异无显著性 ( P >0 .0 5 )。结论 剖宫产术后硬膜外镇痛效果好 ,能促进子宫的复旧 ,增加泌乳素的分泌 。
Objective To investigate the effect of epidural analgesia by continuous infusion of micro dose bupivacaine and meperidine on parturients and prolactin after cesarean section.Methods 160 parturients of full term single fetus cesarean section were divided into two groups,observation group (n=80) and control group (n=80).80 parturients in observation group were continually given drug by epidural conduct analgesia;the other 80 parturients were given meperidine by muscle injection.The levels of prolactin in both group were detected by radioimmunoassay.The analgesic effect was assessed by cut ache VAS.Results The analgesic effect in observation group was superior to that of control group (P<0.05).The incidence of vomiting and nansea in observation group was lower than that in control group (P<0.05).The levels of prolactin in observation group was significantly higher than that in control group (P<0.05).There was no significant difference in vaginal hemorrhage volume between two groups (P> 0.05). Conclusion The effect of epidural analgesia by continuous infusion of micro dose bupivacine and meperidine is good,which can increase the uterine recovery and secretion of prolaction, which is beneficial to the recovery of parturients and breast feeding.
出处
《河北医药》
CAS
2004年第8期641-642,共2页
Hebei Medical Journal
