地塞米松在剖宫产中防止羊水栓塞的临床效果  

Clinical effect of dexamethasone in preventing amniotic fluid embolism during cesarean section

作　　者：刘平平 LIU Ping-ping(South Hospital of the 960 Hospital of the People's Liberation Army,Jinan 250031,China)

机构地区：[1]解放军第九六零医院南院,250031

出　　处：《中国实用医药》2022年第19期136-138,共3页China Practical Medicine

摘　　要：目的分析地塞米松在剖宫产中防止羊水栓塞的临床效果。方法100例剖宫产产妇,根据随机数字表法分为碳酸氢钠组与地塞米松组,每组50例。碳酸氢钠组产妇给予碳酸氢钠治疗,地塞米松组产妇采用地塞米松治疗。比较两组羊水栓塞、胎儿窘迫、新生儿窒息、产后出血发生率。结果地塞米松组的羊水栓塞发生率2.00%、胎儿窘迫发生率2.00%、新生儿窒息发生率2.00%、产后出血发生率2.00%低于碳酸氢钠组的14.00%、16.00%、16.00%、14.00%,差异具有统计学意义(P<0.05)。结论地塞米松在剖宫产中防止羊水栓塞的临床效果确切,可有效减少羊水栓塞的发生,降低胎儿窘迫和新生儿窒息发生率,减少产妇产后出血,值得推广。Objective To analyze the clinical effect of dexamethasone in preventing amniotic fluid embolism during cesarean section.Methods A total of 100 parturients undergoing cesarean section were divided into sodium bicarbonate group and dexamethasone group according to random numerical table,with 50 cases in each group.Parturients in the sodium bicarbonate group were treated with sodium bicarbonate,and parturients in the dexamethasone group were treated with dexamethasone.The incidences of amniotic fluid embolism,fetal distress,neonatal asphyxia and postpartum hemorrhage were compared between the two groups.Results In the dexamethasone group,the incidence of amniotic fluid embolism was 2.00%,the incidence of fetal distress was 2.00%,the incidence of neonatal asphyxia was 2.00%,and the incidence of postpartum hemorrhage was 2.00%,which were lower than 14.00%,16.00%,16.00%and 14.00%in the sodium bicarbonate group,and the differences were statistically significant(P<0.05).Conclusion Dexamethasone has definite clinical effect in preventing amniotic fluid embolism during cesarean section.It can effectively reduce the occurrence of amniotic fluid embolism,reduce the incidence of fetal distress and neonatal asphyxia,and reduce maternal postpartum hemorrhage,which is worthy of popularization.

关 键 词：地塞米松 剖宫产 羊水栓塞 临床效果 

分 类 号：R714.468[医药卫生—妇产科学]