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目的 :探究剖宫产术后产妇行以硬膜外布比卡因镇痛对催乳素及婴儿体重的作用。方法 :择取2015年4月至2016年4月我院收治的足月产妇66例,所选产妇均行以择期手术,在硬膜外麻醉的前提下行以剖宫产。按照入院时间将其分为参照组与观察组,每组33例,参照组产妇在手术结束后将硬膜外导管拔出,观察组产妇在手术结束后行以布比卡因镇痛,对两组产妇催乳素及婴儿体重的作用进行对比分析。结果 :观察组产妇术后24小时、48小时的疼痛评分明显低于参照组,且初乳时间与肠蠕动时间早于参照组(P<0.05);出生后第三天,观察组婴儿体重明显高于参照组(P<0.05)。结论 :对剖宫产术后产妇行以硬膜外布比卡因镇痛不仅对泌乳有促进作用,还可以使婴儿体重得到增加。
Objective: To investigate the effects of epidural bupivacaine on prolactin and infant body weight in postpartum women after cesarean section. Methods: Totally 66 full-term mothers admitted to our hospital from April 2015 to April 2016 were selected. All the selected mothers were treated with elective surgery under cesarean section under the premise of epidural anesthesia. According to the time of admission, they were divided into the reference group and the observation group, with 33 cases in each group. The reference group of maternal women pulled out the epidural catheter after the operation. The maternal women in the observation group received bupivacaine analgesia after the operation, Two groups of maternal prolactin and infant weight comparative analysis. Results: The pain scores of 24 hours and 48 hours postoperatively in the observation group were significantly lower than those in the reference group, and the colostrum and bowel movements were earlier than those in the reference group (P <0.05). On the third day after birth, the weight of the infants in the observation group was significantly Higher than the reference group (P <0.05). CONCLUSIONS: Analgesia with epidural bupivacaine for postpartum women not only promotes lactation but also increases infant weight.