硬膜外自控镇痛对剖宫产产妇术后机体康复及泌乳情况的影响观察

目的:探讨硬膜外自控镇痛对剖宫产产妇术后机体康复及泌乳情况的影响。方法:选取2011年11月～2012年7月于该院进行剖宫产的98例产妇为研究对象,将其随机分为对照组49例和观察组49例,后将两组患者的排气时间、开始泌乳时间、子宫复旧、并发症发生率及术前、术后不同时间的血清炎性因子、泌乳素水平、疼痛评分进行比较。结果:观察组的排气时间短于对照组,24 h内泌乳者比例高于对照组,子宫复旧较佳率高于对照组,并发症发生率低于对照组,术后不同时间的血清炎性因子低于对照组,泌乳素高于对照组,疼痛评分低于对照组,P值均<0.05,有统计学差异。结论:硬膜外自控镇痛可有效促进剖宫产产妇术后机体康复及泌乳情况。

Observation on the effect of patient-controlled epidural analgesia on body rehabilitation and lactation of parturient women after cesarean section

Objective:To explore the effect of patient-controlled epidural analgesia on body rehabilitation and lactation of parturient women after cesarean section.Methods:Ninety-eight parturient women after cesarean section in the hospital from November 2011 to July 2012 were selected as research objects,and then they were randomly divided into control group(49 cases) and observation group(49 cases);the exhausting times,start times of lactation,uterine involution,incidence rates of complications,serum inflammatory factors and prolactin,pain scores at different times before and after surgery in the two groups were compared.Results:The exhausting time in observation group was shorter than that in control group,the lactation rate within 24 hours was higher than that in control group,the better rate of uterine involution was higher than that in control group,the incidence rates of complications were lower than those in control group,the levels of serum inflammatory factors at different times after surgery were lower than those in control group,prolactin level was higher than that in control group,the pain score was lower than that in control group,there were statistically significant differences in the above-mentioned index between the two groups(P<0.05).Conclusion:Patient-controlled epidural analgesia can effectively promote body rehabilitation and lactation of parturient women after cesarean section.