武警医学2017，Vol.28Issue(7)：698-700,703,4.
剖宫产术后两种镇痛方法对血清泌乳素的影响
Effect of two analgesic methods on serum prolactin after cesarean section
徐红1
作者信息
- 1. 430061 武汉,武警湖北总队医院妇产科
- 折叠
摘要
Abstract
Objective To investigate the effect of intravenous sufentanil analgesia and diclofenac sodium on serum prolactin after cesarean section.Methods Eighty cases of maternal cesarean section were treated in our hospital.These patients were randomly divided into two groups for analgesic treatment.The observation group received controlled intravenous sufentanil analgesia (PCIA),while the control group was treated with diclofenac sodium.The plasma concentrations of sufentanil and plasma prolactin levels were measured preoperatively and at 12 h,24 h and 48 h postoperatively.The analgesic effect was assessed by VAS score.The start time of colostrum and the number of feedings of the two groups were recorded and such adverse reactions as nausea and vomiting were observed.Results The VAS score of the control group at 12 h,24 h and 48 h was significantly lower than that of the observation group (P ＜ 0.05).The levels of prolactin in the two groups were significantly higher after operation (P ＜ 0.05),which were (249.32 ± 9.65)mmo1、(278.33 ± 12.56) mmol and (290.29 ± 10.28) mmol at 12h,24 h and 48 h respectively,compared to (213.24 ± 11.34) mmol 、(224.89 ± 12.34) mmol and(236.43 ± 10.09) mmol in the control group(P ＜0.05).Postoperative nausea and vomiting in the observation group were significantly less frequent than in the control group.Conclusions Intravenous analgesia with sufentanil after cesarean section is effective,with fewer adverse reactions,which can obviously increase the secretion of prolactin in mothers and contribute to early postnatal breastfeeding.关键词
舒芬太尼/泌乳素/剖宫产术/镇痛Key words
sufentanil/prolactin/cesarean section/analgesia分类
医药卫生引用本文复制引用
徐红..剖宫产术后两种镇痛方法对血清泌乳素的影响[J].武警医学,2017,28(7):698-700,703,4.
