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为了观察剖宫产术后硬膜外自控镇痛 (PCEA)对初乳时间及乳量的影响 ,选择硬膜外麻醉行剖宫产术的产妇 70 0例 ,随机分为两组 :镇痛组和对照组各 35 0例 ,镇痛组术毕保留硬膜外导管与镇痛泵连接注入镇痛液镇痛 ,术后观察 72 h;对照组术后拔管 ,术后 4～ 6 h肌注盐酸哌替啶 10 0 mg,重复 1次 /6 h,总量 2 0 0 mg,术后观察 72 h。结果 :镇痛组视觉模拟评分法 (VAS)得分明显低于对照组 (P<0 .0 1) ,泌乳时间比对照组早 (P<0 .0 1) ,乳量比对照组多 (P<0 .0 1)。剖宫产术后硬膜外麻醉自控镇痛能促进早泌乳 ,增加乳量
In order to observe the effect of postoperative epidural analgesia (PCEA) on colostrum time and milk yield, 70 cases of epidural anesthesia for cesarean section were randomly divided into two groups: analgesia The control group and the control group of 35O cases, the analgesic group remained epidural catheter and analgesic pump analgesic injection analgesic injection, postoperative observation of 72 h; control group after extubation, 4 ~ 6 h after surgery Intraperitoneal injection of pethidine hydrochloride 10 0 mg, repeated 1/6 h, a total of 200 mg, postoperative observation of 72 h. Results: Compared with the control group (P <0.01), the VAS score of the analgesic group was significantly lower than that of the control group (P <0.01) <0 .0 1). Epidural analgesia after epidural anesthesia can promote early lactation, increased milk production