地塞米松及钙剂辅助催产素预防剖宫产产后出血的临床观察  

DEXAMETHASONE AND CALGLUCON IN TREATING POSTCESAREAN HEMORRHAGE

作　　者：高保红 高金玲 

机构地区：[1]沂水县人民医院,山东沂水276400

出　　处：《山东医学高等专科学校学报》2007年第1期59-61,共3页Journal of Shandong Medical College

基　　金：临沂市科技发展计划项目(No.0600092)

摘　　要：目的观察地塞米松及钙剂辅助催产素预防剖宫产产后出血的有效性和安全性。方法将418例行剖宫产分娩的无血液系统及心血管疾病、有剖宫产指征、存在产后出血高危因素的足月妊娠孕产妇随机分为观察组和对照组。观察组:209例,于术前30 min缓慢静脉推注10%葡萄糖酸钙10 ml,胎儿娩出后立即静脉推注地塞米松10 mg,宫体注射催产素20 U;对照组:209例,胎儿娩出后宫体注射催产素20 U。检测产后2 h内出血量,大于400 ml为产后出血。结果产后2 h内出血量,观察组为(290±162)ml,对照组为(350±175)ml。两组比较有统计学意义(P<0.05)。术后2 h内观察组血清钙值明显高于对照组(P<0.05)。结论地塞米松及钙剂辅助催产素可减少剖宫产产后出血量。Objective To explore the effects and safety of using dexamethasone and calglucon to treat postcesarean hemorrhage. Methods 518 pregnant women who were found to have the indications of cesarean section and high-risk factors but without cardiovascular diseases were randomly divided into the observation group and the contrast group. 209 cases in the observation group were given intraveneous injection of 10 ml of 10 % calylucon 30 minutes before operation, 10 mg of dexarnethasone and 20U of oxytocic in uterus immediately after delivery. 309 cases in the contrast group wre given injection of 20U of oxytocic in uterus. The amount of hemorrhage was measured in two hours after delivery. Results The amounts of hemorrhage in the observation group and the contrast group wre （290 ± 162）ml and （350 ± 175）ml respectively（ P 〈0.05）. Conclusion Dexamethasone and calylucon can reduce postcesarean hemorrhage effectively.

关 键 词：地塞米松 10%葡萄糖酸钙 剖宫产 产后出血. 

分 类 号：R719.8[医药卫生—妇产科学]