剖宮產(chǎn)術(shù)后鎮(zhèn)痛對(duì)母乳喂養(yǎng)的影響研究(1)
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[摘要] 目的 探討剖宮產(chǎn)術(shù)后鎮(zhèn)痛效果及對(duì)母乳喂養(yǎng)的影響。 方法 選擇本院2010年6月～2011年9月收治的剖宮產(chǎn)婦116例隨機(jī)分為兩組，觀察組采用自控鎮(zhèn)痛泵(PCA)鎮(zhèn)痛，對(duì)照組采用傳統(tǒng)方法鎮(zhèn)痛，比較兩組術(shù)后的鎮(zhèn)痛效果、母乳喂養(yǎng)情況。 結(jié)果 觀察組8、24、48 h的鎮(zhèn)痛有效率明顯高于對(duì)照組(P < 0.05)；出乳時(shí)間較對(duì)照組短，24 h哺乳次數(shù)明顯多于對(duì)照組(P < 0.05)。 結(jié)論 剖宮產(chǎn)術(shù)后使用自控鎮(zhèn)痛泵(PCA)，能夠有效緩解產(chǎn)婦疼痛，能促進(jìn)泌乳和胃腸功能恢復(fù)，掌握母乳喂養(yǎng)方法，有助于母乳喂養(yǎng)。
[關(guān)鍵詞] 剖宮產(chǎn)；鎮(zhèn)痛；母乳喂養(yǎng)；影響
[中圖分類號(hào)] R614 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-4721(2012)02(a)-0083-02
Impact study after cesarean section to the breastfeeding analgesia
ZHANG Hongying
The People′s Hospital of Rucheng County in Hunan Province, Rucheng 424100, China
[Abstract] Objective To study the analgesic effect of cesarean section and the effect on the breastfeeding. Methods One hundred and sixteen cases with cesarean section were randomly divided into observation group and control group from June 2010 to September 2011 in our hospital, and each group had 58 cases. The observation group was given controlled analgesia pump (PCA) for analgesia while the control group was received traditional analgesia method. The analgesia effect and breastfeeding situation were compared between the two groups. Results The analgesic efficient of 8 , 24 , 48 hours in the observation group were significantly higher than the control group (P < 0.05); The breast milk appearing time was shorter than the control group, 24 hours of lactation numbers were significantly more than the control group (P < 0.05). Conclusion The using of controlled analgesia pump (PCA) after cesarean section can effectively relieve maternal pain, promote lactation and recovery of gastrointestinal function, grasp the breastfeeding method, and it can help to use breastfeeding.
[Key words] Cesarean section; Analgesia; Breastfeeding; Influence
近年來(lái)，剖宮產(chǎn)率正在呈逐年上升的趨勢(shì)，是解決產(chǎn)婦自然分娩困難的一種較為安全的手段。剖宮產(chǎn)術(shù)后切口疼痛常使產(chǎn)婦產(chǎn)生不安、焦慮情緒，進(jìn)食少，活動(dòng)不便等，嚴(yán)重影響了產(chǎn)婦的休息和睡眠，從而阻礙了產(chǎn)婦的早期活動(dòng)及按需哺乳[1]。產(chǎn)后疼痛主要來(lái)自切口及子宮收縮，因此對(duì)于產(chǎn)后鎮(zhèn)痛的研究越來(lái)越受人們的關(guān)注。傳統(tǒng)的剖宮產(chǎn)鎮(zhèn)痛方法主要是肌內(nèi)注射持續(xù)時(shí)間短，效果不理想[2]。本院對(duì)剖宮產(chǎn)術(shù)后采用鎮(zhèn)痛泵技術(shù)，取得滿意效果�，F(xiàn)報(bào)道如下：
1 資料與方法
1.1 一般資料
所選對(duì)象為本院2010 年6月～2011年6 月行剖宮產(chǎn)術(shù)產(chǎn)婦116例，年齡22～35 歲； 孕期為35～42周。產(chǎn)婦無(wú)其他嚴(yán)重產(chǎn)后綜合征，胎兒均比較正常。產(chǎn)婦自身無(wú)乳房發(fā)育缺陷及內(nèi)分泌疾病，無(wú)麻醉藥過(guò)敏史和成癮史。將所有產(chǎn)婦隨機(jī)分為觀察組58例和對(duì)照組58例。兩組剖宮產(chǎn)過(guò)程均比較順利，無(wú)病理妊娠及分娩期并發(fā)癥，產(chǎn)婦無(wú)母乳喂養(yǎng)禁忌證與新生兒窒息。兩組產(chǎn)婦的年齡、孕周、術(shù)后護(hù)理和健康教育差異無(wú)統(tǒng)計(jì)學(xué)意義(P > 0.05)，具有可比性。
1.2 方法
兩組均采用腰-硬聯(lián)合麻醉的方式進(jìn)行剖宮產(chǎn)術(shù) ......
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