Effect of patient controlled epidural analgesia on recovery and serum prolactin of parturient after undergoing cesarean section

Abstract

Objective To discuss the effect of patient controlled epidural analgesia on recovery and serum prolactin of parturient after undergoing cesarean section.Methods Eighty-six cases with cesarean section patients were classified into two groups by random digits table,which observation group with 43 cases were used patient controlled epidural analgesia,and control group with 43 cases were used intramuscular pethidine.The analgesic effect and serum prolactin between the two groups were compared.Results The good rate in observation group was 79.1％(34/43 ),significantly higher than that in control group [20.9％( 9/43 ) ](P ＜ 0.05 ).Compared with pre-operation,the level of prolactin in observation group was significantly increased [ ( 542.17 ± 46.75 ) μ g/L vs.( 351.13 ± 20.92 ) μ g/L] ( P ＜ 0.05 ).Moreover,the level of prolactin in observation group after operation was significantly higher than that in control group [ (362.12 ± 24.33)μ g/L ] ( P ＜ 0.05 ).The colostrum time in observation group was ( 15.21 ± 3.26 ) h which was shorter than that in control group [ (21.16 ± 4.78) h ] (P ＜ 0.05).Conclusion The analgesic effect of patient controlled epidural analgesia on parturient after undergoing cesarean section is good,which can help patients recovery and improve the level of serum prolactin,which can be applied in clinic. Key words: Analgesia,epidural; Cesarean section; Prolactin