葡萄糖酸钙辅助防治剖宫产产后出血的效果观察  

Efficacy of Adjunctive Therapy of 10% Calcium Gluconate Injection Preventing Postpartum Hemorrhage of Cesarean Section

作　　者：吕裕秀[1] 朱玉莲[1] 邹莉[1] 顾逢春[1] 徐玉娟[1] 

机构地区：[1]东南大学医学院附属江阴医院妇产科,江苏省江阴市214400

出　　处：《医学理论与实践》2015年第18期2436-2437,2455,共3页The Journal of Medical Theory and Practice

摘　　要：目的:探讨葡萄糖酸钙辅助防治剖宫产产后出血的临床效果。方法:选择2014年1月-2015年4月50例产后出血高危因素的剖宫产产妇,随机分为研究组和对照组,每组25例。对照组在胎儿取出前2min舌下含服卡孕栓1mg,胎儿取出后宫体注射缩宫素20U+静脉滴注缩宫素20U,观察组在对照组基础上,于术前静脉滴注10%葡萄糖酸钙10ml(入5%葡萄糖溶液250ml),比较两组术中、产后2h、产后24h出血量,观察产后止血时间、产后24h血红蛋白含量和住院时间,记录两组不良反应。结果:研究组术中、产后2h、产后24h出血量明显少于对照组(P<0.05),研究组产后止血时间和住院时间显著少于对照组(P<0.05),而产后24h血红蛋白含量明显高于对照组(P<0.05)。两组不良反应比较差异无统计学意义(P>0.05)。结论:葡萄糖酸钙辅助卡孕栓+缩宫素防治剖宫产产后出血疗效好,无明显不良反应。Objective ：To investigate the clinical effects of 10% calcium gluconate injection preventing postpartum hem‐orrhage of cesarean section .Methods ：50 cases of postpartum hemorrhage with risk factors for cesarean section ,selected from January 2014 to April 2015 ,were randomly divided into the study group and the control group ,25 cases in each group .The control group was given sublingual carprost 1mg at 2min before the fetus was removed ,and oxytocin 20U was injectd in harem body as well as intravenous infusion of oxytocin 20U when fetus was removed .The observation group were given preoperative intravenous infusion of 10% calcium gluconate injection 10ml on the base of the control group .Bleeding capacity were compared during surgery and postpartum 2h ,24h ,postpartum bleeding time ,postpartum 24h hemoglobin content and hospital stay were observed in two groups .The adverse reactions were recorded in two groups .Results：Bleeding capacity during surgery and postpartum 2h ,24h in the study group were significantly less than those in the control group （P〈0 .05） .Postpartum bleeding and hospital stay in the study group were significantly less than those in the control group （P〈 0 .05） ,and hemoglobin levels at postpartum 24h was significantly higher than those in the control group （P〈0 .05） ,there were not statistically significant in the adverse reactions between the two groups （P〉0 .05） .Conclusion：10% calcium gluconate injection preventing postpartum hemorrhage of cesarean section had good effects with no significant adverse reactions .

关 键 词：葡萄糖酸钙 剖宫产 产后出血 效果 

分 类 号：R714.461[医药卫生—妇产科学]