剖宫产时母体静脉输入葡萄糖对围产儿的影响  

EFFECTS OF INTRAPARTUM MATERNAL GLUCOSE INFUSION ON THE NORMAL PERINATAL INFANT

作　　者：刘树颖 邱学霞 孙述强[2] 杨景霞[2] 

机构地区：[1]河北省儿童医院 [2]河北医学院三院

出　　处：《中国新生儿科杂志》1991年第2期60-62,91-92,共5页Chinese Journal of Neonatology

摘　　要：本文研究了剖宫产时母体静脉输入葡萄糖对正常围产儿的影响。结果:(1)51例剖宫产于20～50分钟内输入10％葡萄糖80～400ml,平均输糖速度(GV)为51.47g/小时。产时母体血糖(MG)为172.3±55.7mg/dl;出时生胎儿血糖(FG)为132.5±41.6mg/de,最高达219.1mg/de,易引起胎儿急性高血糖。由于FG与MG(γ=0.8726,P<0.001)、MG与GV(γ=0.7395,P<0.001)均呈高度正相关,故应限制产程中母体单位时间内的输糖量。(2) 新生儿生后2小时内血糖水平随MG升高而略增高,与FI无直接关系,无一例新生儿低血糖发生。The effects on the normal perinatal infant of glucose given to the mother in labour were investigated. One group (N=81) was contral, which had no supplementary infusion during labour and fasted over 4 hours or more. The other group(N=51) received 10％ glucose solution infusion when they underwent casearean section. The median value for total amount of glucose infused to the mother was 8-40g over 20-50 minutes. The median rate of glucose infusion (GV) was 51.47/hr; median maternal blood glucose at delivery (MG) was 9.65 mmol/L; median fetal glucose (FG) was 7-42 mmol/L. In the cases of 13/51 (25.5) FG were equal to or greater than 8.40 mmol/L. Fetal hyperglycemia occured. FG correlated significantly positively (P<0.001) with MG, and MG correlated significantly positively (P<0.001) with GV. The result indicated that GV should be controlled. It was suggested that GV should be limited under 28g/hr during ceasasean section. The blood glucose of newborn in 2 hours correlated positively with GV and MG, but did not have direct correlation with fetal insulin. None developed neonatal hypoglycemia.

关 键 词：胎儿急性高血糖 胰岛素 剖宫产 

分 类 号：R72[医药卫生—儿科]