【摘要】 目的 观察硬膜外自控镇痛(PCAE)用于剖宫产手术的镇痛效果，乳汁分泌量，肛门排气时间及不良反应。方法 硬膜外自控镇痛用于剖宫产手术，临床观察研究组和对照组共400例。结果 研究组明显优于对照组。结论 硬膜外自控镇痛用于剖宫产术后，镇痛效果可靠，持续时间长，不影响子宫复旧，利于消化道功能恢复，加速乳汁分泌，促进母乳喂养，抑制围术期应激反应，减少产后不良反应。

    【关键词】 硬膜外自控镇痛；剖宫产术；泌乳量

    Patient controlled epidural analgesia applied to postoperative of caesarean birth

    TIAN Ya-hui,GAO Dan-xia,XU Jun,et al.

    Shanghai Dachang Hospital,Shanghai 200436,China

    【Abstract】 Objective To observe respectively abirritation effect,lactation volume,the time of expel flatus from anus and untoward reaction of two groups.Methods Patient controlled epidural analgesia (PCEA) is applied to Caesarean birth，totally 400 patients in clinical observation study group and control group.Results The study group significantly excels control group.Conclusion Applied to post-operation of Caesarean birth,PCEA shows reliable abirritation ......