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目的:研究分析剖宫产术后镇痛对母乳喂养新生儿精神行为能力的影响。方法:选取本院ASAⅠ-Ⅱ级足月妊娠剖宫产120例产妇作为本次研究的对象,并将上述患者随机分成三组,即镇痛Ⅰ组、镇痛Ⅱ组以及对照组,每组分别为40例。镇痛Ⅰ组产妇采用吗啡+氟哌利多+氯化钠注射液进行镇痛;镇痛Ⅱ组采用罗哌卡因+芬太尼+氯化钠注射液进行镇痛;对照组的患者术后不采用任何镇痛方法。结果:研究结果显示,镇痛的两组患者的镇痛效果比较满意,并且镇痛对呼吸以及循环功能未造成明显的影响。同时还发现镇痛组在产后24h开奶例数以及产后24h哺乳例数明显较对照组多,差异具有显著性,(P<0.05)具有统计学意义。并且三组患者均未发现严重的并发症,新生儿的精神以及适应能力评分结果均在35分以上,且差异不具有显著性,(P>0.05)不具有统计学意义。结论:研究表明剖宫产术后采用吗啡硬膜外进行镇痛临床效果显著,并且一定程度上消除患者的紧张情绪和疼痛,有效促进开奶和哺乳,并且对于新生儿的精神以及行为能力无明显的不良影响。
Objective: To study the effect of analgesia after cesarean section on the mental performance of breast-fed neonates. Methods: 120 cases of ASAⅠ-Ⅱpregnancy cesarean section in our hospital were selected as the object of this study. The above patients were randomly divided into three groups: analgesia group Ⅰ, analgesic group Ⅱ and control group, with each group Respectively, 40 cases. Analgesia group Ⅰ maternal morphine plus droperidol + sodium chloride injection for analgesia; analgesic group Ⅱ with ropivacaine + fentanyl + sodium chloride injection for analgesia; patients in the control group after operation Do not use any analgesic method. Results: The results showed that the two groups of patients with analgesic analgesic effect is satisfactory, and analgesia on respiratory and circulatory function did not cause significant impact. At the same time, it was also found that the number of lactation cases and the number of lactation cases after 24 hours of labor in analgesic group were significantly more than those in control group, the difference was significant (P <0.05) with statistical significance. And no serious complication was found in all three groups. Neonatal spirit and adaptability score were all above 35 points, with no significant difference (P> 0.05). Conclusion: The study shows that the use of morphine after cesarean epidural analgesia clinical significant effect, and to some extent, to eliminate the patient’s tension and pain, effectively promote milk and breast-feeding, and the spirit of the newborn and behavioral abilities Obvious adverse effects.