摘要
目的：观察剖宫产、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：足月产妇240例均分为四组：Ⅰ组术毕行硬膜外吗啡镇痛；Ⅱ组术毕行硬膜外吗啡镇痛，24h后追加一次；Ⅲ组未行术后镇痛；阴道自然分娩60例为Ⅳ组。240例产妇产前、产后均进行护理干预、科学宣传，实行母婴同室和纯母乳喂养。结果：产后5min、24h及48h内开始泌乳及72h泌乳分泌不足发生率与剖宫产组相比无差异。结论：由于护理干预，剖宫产及硬膜外吗啡术后镇痛不影响产妇母乳喂养的成功率。
Abstract
objective:To observe the cesarean section, epidural morphine postoperative analgesia maternity lactation status and serum prolactin (PRL) change.Methods:The240 cases of maternal term are divided into four groups:Ⅰ group operation BiHang epidural morphine analgesia;Ⅱ group operation BiHang epidural morphine analgesia, 24 h after additional one time.Ⅲ group do not postoperative analgesia; Vaginal natural childbirth sixty cases ofⅣ group. 240 cases were performed antenatal, postpartum nursing intervention, scientific propaganda, the maternal and child inmates and pure breastfeeding.Results:Postpartum 5 min, 24 h and h and start within lactation and 72 h lactation hyposecretion incidence and cesarean section group compared with indifference.Conclusion:Due to the nursing intervention, and cesarean section and epidural morphine postoperative analgesia does not affect maternal breastfeeding success rate.
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