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剖宫产及硬膜外吗啡术后镇痛对产妇泌乳的影响
引用本文:潘建辉,谷海,陈昆洲,刘雨生,刘泽莉,程晓兰.剖宫产及硬膜外吗啡术后镇痛对产妇泌乳的影响[J].临床麻醉学杂志,1999,15(3):146-147.
作者姓名:潘建辉  谷海  陈昆洲  刘雨生  刘泽莉  程晓兰
作者单位:1. 安徽省立医院麻醉科,合肥市,230001
2. 安徽省立医院妇产科,合肥市,230001
摘    要:目的:观察剖宫产及硬膜外吗啡术后镇痛产妇的泌乳状况及血清泌乳素(PRL)变化。方法:足月初产妇120例均分为四组:Ⅰ组术毕行硬膜外吗啡镇痛;Ⅱ组术毕硬膜外吗啡镇痛,24小时后追加1次;Ⅲ组未行术后镇痛;阴道自然分娩30例为Ⅳ组。结果:产后5分钟、24值变化各组间无显著性差异。Ⅳ组产后24小时内开发泌乳发生率(40%),高于同期所有剖宫产组(20%);但48小时内开始泌乳及72小时乳汁分泌不足发生率

关 键 词:镇痛  吗啡  硬膜外  剖宫产  泌乳素

Effects of Cesarean Section and Postoperative Epidural Morphine Analgesia on Lactation in Puerperants
Pan Jianhui,Gu Hai,Chen Kunzhou,et al.Effects of Cesarean Section and Postoperative Epidural Morphine Analgesia on Lactation in Puerperants[J].The Journal of Clinical Anesthesiology,1999,15(3):146-147.
Authors:Pan Jianhui  Gu Hai  Chen Kunzhou  
Institution:Pan Jianhui,Gu Hai,Chen Kunzhou,et al Department of Anesthesiology,Anhui Provincial Hospital
Abstract:Objective: The lactational state and change of serum prolactin (PRL) were observed in women undergoing the cesarean section and postoperative epidural morphine analgesia. Methods: 120 maturus primiparous women participated in the study. 90 women underwent cesarean section under epidural anesthesia were divided randomly into three groups. The epidural analgesia with morphine was used in group at the end of the operation. The same way was taken in group at the end of the operation and was repeated 24 h after the operation. The epidural morphine was not administered postoperatively in group . 30 women of natural labor were regarded as group . Results: Among four groups there was no significant difference in PRL levels at 5min, in 24 and 48h postpartum. The incidence of beginning lactation in 24h postpartum was higher in the natural labor group than that in all women undergoing the cesarean section, but the lactation in 48h postpartum and the hypogalactia 72h postpartum in both groups were similar. The average time of postoperative analgesia was significantly different among group , and . Conclusion: Cesarean section and postoperative epidural morphine analgesia would not affect the success rate of breastfeeding.
Keywords:AnalgesiaMorphineEpiduralCesarean sectionProlactin
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