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目的:观察剖宫产术前使用地塞米松及10%葡萄糖酸钙的临床效果及副作用。方法:选择2006年6月1日～2008年2月29日在该院住院剖宫产的产妇280例,有剖宫产指征,存在产后出血及新生儿窒息等高危因素的孕妇随机分成A、B两组。A组140例由本人主刀手术,入手术室开放静脉后给乳酸钠林格注射液500ml静滴,先小壶内滴入地塞米松注射液10mg,继之给10%葡萄糖酸钙10～20ml加入上述液体静滴。B组140例为对照组。两组手术方式及术后用药均相同。观察术中出血量、术后阴道流血量、子宫复旧、术后病率、切口愈合情况、新生儿Apgar评分、新生儿呼吸窘迫综合征(NRDS)等。结果,A组在多项观察中明显优于B组。结论:高危妊娠剖宫产术前使用地塞米松及钙剂对产妇及新生儿均有多种疗效,值得推广运用。
Objective: To observe the clinical effects and side effects of dexamethasone and 10% calcium gluconate before cesarean section. Methods: From June 1, 2006 to February 29, 2008, 280 pregnant women were hospitalized for cesarean section in the hospital. Cesarean section indications, pregnant women with postpartum hemorrhage and neonatal asphyxia were randomly divided into A , B two groups. A group of 140 cases by the surgeon I surgery, into the operating room after the open intravenous injection of sodium lactate Ringer 500ml intravenous drip dexamethasone injection first small pot 10mg, followed by 10% calcium gluconate 10 ~ 20ml added The liquid drops. Group B, 140 cases as control group. The two groups of surgical methods and postoperative medication are the same. Intraoperative bleeding, postoperative vaginal bleeding, uterine involution, postoperative morbidity, incision healing, neonatal Apgar score, neonatal respiratory distress syndrome (NRDS) and so on were observed. As a result, group A was significantly superior to group B in many observations. Conclusion: The use of dexamethasone and calcium before cesarean section in high-risk pregnancies has many curative effects on maternal and newborn babies, which deserves promotion.