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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
Objective To observe the effect of umbilical vein injection of calcium gluconate on postpartum hemorrhage and its effect on the third stage of labor. Methods One hundred and ten patients in the observation group were randomly divided into umbilical cord after the delivery of the fetus and 10 ml of 10% calcium gluconate via the umbilical vein for 5-10 minutes. The control group received 101 cases of intramuscular oxytocin 20U after delivery. Results The amount of bleeding in experimental group was decreased by 64.76 ml at 2 hours postpartum, and that in experimental group was decreased by 2.03 minutes (P <0.01). Conclusion Calcium gluconate is injected into the umbilical vein to directly reach the placental vascular bed and promote uterine contraction and placental detachment, shortening the third stage of labor and reducing postpartum hemorrhage. The curative effect is reliable and simple and easy to operate