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目的对腰麻-硬膜外麻醉方式分娩镇痛后产妇的泌乳情况进行探讨,分析产妇泌乳的影响因素。方法将对产妇进行分组镇痛,观察组采用腰麻-硬膜外麻醉方式进行分娩镇痛,对照组患者采用产科常规处理内容,在产妇分娩过程中不给予任何止痛镇痛药物。观察并记录两组患者疼痛程度、喂养情况以及血清泌乳素分泌情况,进行统计学分析,得出结论。结果观察组产妇在产后24h、48h以及72h体内血清泌乳素分泌情况均较对照组显著增加;观察组产妇宫口开大至4cm、5cm以及8cm各时间段疼痛程度评分均较对照组患者明显减少;观察组与对照组患者经不同镇痛方式分娩后,其产后开始分泌乳汁时间以及24h哺乳次数未出现明显差别。结论采用腰麻-硬膜外麻醉方式进行镇痛分娩能够促进产妇分娩后体内血清泌乳素分泌以及减少产妇在分娩过程中的疼痛程度,是一种安全有效,且使用方便的分娩镇痛方法,同时有利于提高母乳喂养成功率,值得临床推广应用。
Objective To investigate the maternal lactation after labor analgesia by means of spinal anesthesia and epidural anesthesia and analyze the influencing factors of maternal lactation. Methods Maternal pain was divided into groups. The observation group was given analgesia during labor by spinal anesthesia and epidural anesthesia. The patients in the control group were treated by obstetrics and gynecology routinely without any analgesic and analgesic drugs during labor. Observe and record the two groups of patients with pain, feeding and serum prolactin secretion, statistical analysis, draw conclusions. Results In the observation group, the serum prolactin secretion in the 24 h, 48 h and 72 h postpartum patients was significantly higher than that in the control group. The scores of pain in the observation group were significantly lower than those in the control group at 4 cm, 5 cm and 8 cm ; Observation group and control group of patients by different analgesia after delivery, lactation time after lactation and lactation did not show significant differences in 24h. Conclusion It is a safe and effective analgesic method for labor analgesia that analgesia delivery by spinal anesthesia and epidural anesthesia can promote the secretion of prolactin in the body and reduce the pain during labor. At the same time help to improve the success rate of breastfeeding, it is worth clinical application.