CAJ | 학술논문

目的:观察剖宫产术后自控镇痛的应用对产后泌乳的影响及产后出血影响方法:在我院分娩的病例共110例分为三组:I、II组为剖宫产组,I组为自控镇痛组, II组为非自控镇痛组,III组为顺产组.分别测定各组产前、产后24小时、48小时血清泌乳素值;测定各组产后24小时阴道出血量结果:I、III组产后48小时泌乳素均高于产前泌乳素水平,统计学上有显著差异(p<0.05);II组产后泌乳素对比产前泌乳素未见明显升高(p>0.05);II组产后48小时泌乳素明显低于I组、III组,统计学上有显著差异(p<0.05);三组间产后24小时阴道出血量无明显差异(p>0.05)结论:剖宫产术后应用自控镇痛泵镇痛能促进泌乳素分泌,不增加产后出血的发生,值得广泛应用.
목적:관찰부궁산술후자공진통적응용대산후비유적영향급산후출혈영향방법:재아원분면적병례공110례분위삼조:I、II조위부궁산조,I조위자공진통조, II조위비자공진통조,III조위순산조.분별측정각조산전、산후24소시、48소시혈청비유소치;측정각조산후24소시음도출혈량결과:I、III조산후48소시비유소균고우산전비유소수평,통계학상유현저차이(p<0.05);II조산후비유소대비산전비유소미견명현승고(p>0.05);II조산후48소시비유소명현저우I조、III조,통계학상유현저차이(p<0.05);삼조간산후24소시음도출혈량무명현차이(p>0.05)결론:부궁산술후응용자공진통빙진통능촉진비유소분비,불증가산후출혈적발생,치득엄범응용.
Objective:To observe the effects of patient controlled analgesia after cesarean section on Secretion of Prolactin and postpartum hemorrhage.Methods:110 delivery cases in our hospital were divided into three groups, group I、II :cesarean section group, group I as patient-controlled analgesia group, group II as non-patient-controlled analgesia group,group III as normal group.Determined the serum prolactin in prenatal、 24 hours, 48 hours postpartumof of each group;determined 24 h postpartum vaginal bleeding volume of each group. Results :The PRL levels in 48 hours postpartum were higher than those of prenatal in groupI、III,there was significant difference (P<0.05);there was no significantly increase in the 48 hours postpartum PRL levels compared to those of prenatal in group II (p>0.05);the PRL leverls in group II were significantly lower than group I、III , there was a significant difference (P<0.05);the vaginal bleeding volume in 24 hours postpartum showed no significant difference among the three groups (p>0.05).Conclusion :Application of patient controlled analgesia after cesarean section might improve secretion of PRL, does not increase the incidence of postpartum ,it is worth widely used.