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目的:分析剖宫产术后不同镇痛方法对产妇的镇痛效果及泌乳功能的影响。方法:选择2009年2月～2011年2月剖宫产分娩的220例产妇,随机分为观察组和对照组各110例,观察组采用硬膜外连接导管向镇痛泵内注入镇痛药液100 ml(包括20 ml的0.74%布比卡因、2.5 mg的氟哌利多、100μg芬太尼),对照组在术后疼痛时采用肌肉注射杜冷丁(哌替啶)镇痛。结果:两组的镇痛效果、产后泌乳时间及哺乳次数比较,P<0.05),差异有统计学意义。结论:剖宫产术后采取硬膜外连接导管向镇痛泵内注入镇痛药液有利于产妇的产后泌乳,且镇痛效果明显优于常规肌肉注射杜冷丁。
Objective: To analyze the analgesic effect and lactation function of different analgesic methods after cesarean section. Methods: A total of 220 maternal women delivered by cesarean section from February 2009 to February 2011 were randomly divided into observation group (110 cases) and control group (110 cases). Epidural catheter was used in the observation group to induce analgesia A solution of 100 ml (including 20 ml of 0.74% bupivacaine, 2.5 mg of droperidol, 100 μg of fentanyl) was used in the control group, followed by analgesia with intramuscular dolantin (pethidine) for postoperative pain. Results: The two groups of analgesic effect, postpartum lactation time and lactation frequency, P <0.05), the difference was statistically significant. CONCLUSIONS: After epidural delivery, epidural catheter is used to inject analgesic solution into analgesia pump, which is conducive to postpartum lactation. The analgesic effect is obviously superior to that of conventional intramuscular injection of dolantin.