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目的:观察剖宫产术后应用吗啡类硬膜外镇痛对母乳喂养及新生儿精神行为能力的影响。方法:选择ASAI-II级足月妊娠剖宫产孕妇120例,随机分为镇痛I组、镇痛II组和对照组。结果:两镇痛组镇痛效果满意,对呼吸、循环功能无明显影响。两镇痛组产后24h开奶例数、产后24h哺乳3～8次例数明显高于对照组(P<0.01)。镇痛组肠排气时间早,无并发症。3组新生儿在各时点的神经和适应能力评分值均大于35分,3组间比较差异无显著性(P>0.05)。结论:剖宫产术后应用吗啡类硬膜外病人自控镇痛效果可靠,并能降低术后产妇的应激反应,消除疼痛导致的焦虑、紧张等情绪反应,促进早开奶,利于母乳喂养,对母乳喂养的新生儿精神行为无明显不良影响,可安全应用于临床。
Objective: To observe the effect of morphine epidural analgesia on breastfeeding and neonatal mental performance after cesarean section. Methods: 120 pregnant women with ASAI-II full-term pregnancy cesarean section were randomly divided into analgesic group I, analgesic group II and control group. Results: The analgesic effect of two analgesic groups was satisfactory, but had no obvious effect on respiration and circulation. Two analgesic group after opening milk 24 hours postpartum number of lactation 3 to 8 cases was significantly higher than the control group (P <0.01). Analgesic group intestinal discharge time early, no complications. The scores of neurological and adaptive ability in 3 groups were higher than 35 at each time point, and there was no significant difference among 3 groups (P> 0.05). Conclusion: The postoperative analgesic effect of morphine epidural analgesia after cesarean section is reliable and can reduce the postoperative stress response of pregnant women, eliminate the emotional reactions such as anxiety and tension caused by pain, promote the early opening of milk and promote breastfeeding , No significant adverse effects on the mental behavior of breast-fed neonates can be safely applied to clinical.