论文部分内容阅读
目的探讨剖宫产对产后泌乳的影响。方法采用放射免疫方法检测４０例经阴道分娩产妇（阴道分娩组）及４０例剖宫产产妇（剖宫产组）产前及产后２４ｈ血清垂体泌乳素（ＰＲＬ）水平，并观察产后乳母泌乳始动时间。结果阴道分娩组产前血清ＰＲＬ水平为（２７６．６８±２１．５３）μｇ／Ｌ，剖宫产组产前血清ＰＲＬ水平为（２４７．２６±２７．０９）μｇ／Ｌ，２组比较，无显著性差异（Ｐ＞０．０５）；产后２４ｈ阴道分娩组与剖宫产组血清ＰＲＬ水平分别为（３１５．９４±３１．３９）μｇ／Ｌ和（２３４．５０±２４．６９）μｇ／Ｌ，２组比较，差异有显著性（Ｐ＜０．０５）；产后２组泌乳始动时间比较，差异有显著性（Ｐ＜０．０５）。结论剖宫产血清垂体泌乳素的分泌，并使泌乳始动时间延迟血清ＰＲＬ对泌乳始动时间是必不可少的
Objective To investigate the effect of cesarean section on postpartum lactation. Methods Serum pituitary prolactin (PRL) levels in 40 cases of vaginal delivery (vaginal delivery group) and 40 cases of cesarean section (cesarean section group) were measured by radioimmunoassay before and after delivery Move time. Results The prenatal serum PRL level in vaginal delivery group was (276.68 ± 21.53) μg / L, while that in pre-cesarean section group was (247.26 ± 27.09) μg / L, (P> 0.05). Serum PRL levels in vaginal delivery group and cesarean section group after delivery were (315.94 ± 31.39) μg / L and (234.50 ± 24.69) μg / L, the difference between the two groups was significant (P <0.05). There was a significant difference between the two groups in postpartum lactation onset time (P <0.05). Conclusions Secretion of prolactin in the serum of the cesarean section and the delay in the initiation of lactation are necessary for the initiation of lactation