Comparison the effect of different analgesic techniques on the serum prolactin(PRL ) of puerpera after caesarean section
Objective To compare the effect of different analgesic techniques on the levels of serum prolacti n(PRL) of puerperas after caesarean section. Methods Three hundreds puerperas after caesarean section were randomly divided into three groups. Grouplreceived 50 mg pethidine when needed, GroupⅡreceived ropivacaine + fentanyl for PCEA.groupⅢreceived fentanyl for PCI A. The levels of serum PRL were observed at three time points: the end of surgery, at 2,24,48 h after the end of surgery. Results There were no significant differences in terms of serum PRL in three groups at the end of surgery . The serum PRL were significantly higher at 2, 24 and 48 h in groupⅡand groupⅢthan those in groupI(P<0. OS). Compared with group Ⅲ, the serum PRL was significantly higher at 24 h in groupⅡ(.P<0.05) . Conclusion PCEA and PCIA can increase the levels of serum PRL and this is effective with an increase of prolactin secretion. PCEA is more efficient than PCIA.