【摘要】 目的观察两种不同麻醉方法对剖宫产术后疼痛及泌乳素分泌的影响。方法选取我院行剖宫产手术的患者60例,分为对照组(n=29)与观察组(n=31)。对照组采用腰硬联麻复合吗啡硬膜外自控镇痛,观察组采用腰硬联麻复合地佐辛静脉自控镇痛。比较两组产妇的镇痛镇静效果、血清泌乳素水平及不良反应情况。结果术后2 h、 5 h、 10 h、 12 h及48 h,观察组的VAS评分均显著低于对照组, Ramsay评分均显著高于对照组(P均<0.05)。观察组麻醉后24 h的血清泌乳素水平显著高于对照组(P <0.05)。观察组的尿潴留、下肢麻木发生率显著低于对照组(P <0.05)。结论腰硬联麻复合地佐辛静脉自控镇痛对剖宫产术后产妇有较好的镇痛效果,能够有效增加血清泌乳素水平,安全可靠。更多还原

【Abstract】 Objective To observe the influence of two different anesthetic methods on pain and prolactin secretion after cesarean section. Methods 60 cases of puerperas with cesarean section in our hospital were selected and divided into control group(n = 29) and observation group(n = 31). The control group received spinal epidural anesthesia combined with morphine epidural self-control analgesia,while the observation group received spinal epidural anesthesia combined with dezocine intravenous self-control analgesia. The analgesic and sedative effects, serum prolactin level and adverse reactions were compared between the two groups. Results 2 h, 5 h, 10 h, 12 h and 48 h after surgery, the VAS scores of the observation group were significantly lower than those of the control group, and the Ramsay scores were significantly higher those of the control group(all P <0.05). 24 h after anesthesia, the serum prolactin level of the observation group was significantly higher than that of the control group(P <0.05). The incidences of urinary retention and lower limb numbness of the observation group were significantly lower than those of the control group(P <0.05). Conclusions Spinal epidural anesthesia combined with dezocine intravenous self-control analgesia has better analgesic effect on puerperas after cesarean section, and can effectively improve the serum prolactin level, which is safe and reliable.更多还原