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目的 观察剖宫产术后产妇自控镇痛对母婴的影响。方法 2 0 0 2年 1月至 2 0 0 3年 1月首都医科大学附属复兴医院将剖宫产产妇 2 16例分为观察组和对照组 ,两组均为连续硬膜外麻醉 ,手术结束时 ,观察组将自控镇痛泵接在硬膜外管上。术后分别取产妇肘静脉血、初乳、尿及新生儿尿 ,测定吗啡含量 ;观察镇痛效果及副反应。结果 与对照组比较观察组镇痛效果明显 (P <0 0 5 )。观察组血吗啡质量浓度 5 0～ 12 6 0 μg/L ,初乳吗啡质量浓度 5 0～ 33 6 μg/L ,91 8%的产妇尿吗啡呈阳性 ,12 7%的新生儿尿吗啡呈阳性。随访 1年两组婴儿的体格及发育商比较 ,P >0 0 5。结论 剖宫产术后硬膜外腔应用吗啡镇痛 ,对产妇及新生儿是安全可行的
Objective To observe the effect of postpartum analgesia on maternal and infant after cesarean section. METHODS: From January 2002 to January 2003, 2 16 cases of caesarean section were divided into observation group and control group by Fuxing Hospital affiliated to Capital Medical University. Both groups received continuous epidural anesthesia and the operation ended When the observation group will be controlled analgesia pump connected to the epidural tube. The elbow venous blood, colostrum, urine and neonatal urine were collected from postpartum women. Morphine content was measured. The analgesic effect and side effects were observed. Results Compared with the control group, the analgesic effect of the observation group was significant (P <0.05). The morphine concentration in the observation group was 50-126 0 μg / L, the morphine concentration in the colostrum was 50-336 μg / L, 91.8% of the women had positive urine morphine, and 12.7% of the newborns had positive urine morphine . Follow-up 1 year two groups of infants physical and developmental business comparison, P> 0 0 5. Conclusion Application of morphine analgesia in epidural space after cesarean section is safe and feasible for maternal and newborn