硬膜外持续吗啡镇痛用于剖宫产术后的临床观察

目的 观察硬膜外持续吗啡镇痛用于剖宫产术后的效果以及对泌乳、肠蠕动等方面的影响.方法 选择40例行剖宫产术的孕妇,年龄22~36岁,ASAⅠ-Ⅱ级.随机分为两组,每组20例.试验组(硬膜外持续吗啡镇痛)和对照组(术后按需肌内注射杜冷丁).通过观察其镇痛、镇静的效果以及对泌乳、肠蠕动的影响.结果 两组各时点VAS镇痛、镇静评分,泌乳时间,首次肛门排气时间有显著性差异.结论 硬膜外持续吗啡镇痛用于剖宫产术后效果满意,且能促进泌乳和胃肠蠕动功能的恢复,利于新生儿的早期母乳喂养.

The clinical observation continuous epidural morphine analgesia after cesarean section

Objective To observative the continuous epidural morphine analgesia after cesarean section on lactation,as well as the effect of intestinal peristalsis and so on. Methods 40 cases underwent cesarean pregnant women,aged 22~36 years,ASAⅠ-Ⅱ.40 cases were randomly divided into two groups,20cases in each group.The test group(continuous epidural morphine analgesia)and control group(postoperative by intramuscular injection of pethidine).Through the observation of the analgesic,sedative effects as well as on lactation,intestinal peristaltic effect.Results Each of the two groups at VAS analgesia,sedation score,the time of lactation,first time anal exhaust time have significant difference.Conclusion Continuous epidural morphine analgesia in cesarean section postoperative results were satisfactory,and can promote lactation and gastrointestinal peristaltic function recovery,early breast feeding for neonates.