脐静脉注射葡萄糖酸钙预防产后出血临床研究

目的　观察脐静脉注射葡萄糖酸钙预防产后出血及对第三产程的影响。方法　观察组 10 0例 ,在胎儿娩出后立即断脐 ,经脐静脉注射 10 %葡萄糖酸钙 10ml,时间 5～ 10min ;对照组 10 1例 ,胎儿娩出后即肌注催产素 2 0U。结果　实验组产后 2h出血量较对照组减少 64 .76ml,实验组第三产程时间较对照组减少 2 .0 3min(P <0 .0 1)。结论　脐静脉注射葡萄糖酸钙使钙离子直接到达胎盘血管床 ,促进子宫收缩、胎盘剥离 ,缩短第三产程 ,减少产后出血 ,疗效可靠 ,简便易行

Clinical Study of Postpartum Hemorrhage Prevention by Injection of Calcium Gluconate

Objective To observe effects of the third delivery stage and the prevention of postpartum hemorrhage in injecting Calcium Gluconate into the navel vein.Methods In the study group of the cases of 100 patient,the navels were cut off from 5cm to the opening of vagina immediately,and injecting 10% Calcium Gluconate 10ml into the navel vein during five-ten minutes.In the control group of the cases of 101 patients,20iu oxytocin was given by injecting-muscle(im)after the delivery of fetus.Results Contrast to the control group,the amount of bleeding within two hours after delivery obviously decreased 64.76ml and the time of the third delivery stage reduced 2.03 minutes(P<0.01).Conclusion 10% Calcium Gluconate was injected into the navel vein,which made Caget into the vessel bed of placenta directly and made the uterus shrinked,placenta pelled off,its effect is obvious and reliable,suitable for wide-spread use.That is simple and easy.