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将胎儿窘迫60例随机分为甲、乙两组,每组30例。甲组给予氨茶碱0.25g加入葡萄糖液缓慢静脉推注,乙组用维生素C、维生素K1加入葡萄糖液静脉推注。用药前后观察胎心情况、羊水情况,新生儿出生后行脐血血气分析及新生儿Apgar评分。结果显示:用药后甲组胎心改善率为79%,乙组为48%(P<0.05);血pH<7.2者,甲组为25%,乙组为42%;平均PCO2甲组为5.98%kPa,乙组为7.57kPa(P<0.001);新生儿Ap-gar评分≤7者,甲组为2/30,乙组为10/30(P<0.05),提示用氨茶碱进行胎儿宫内复苏是有效的。
60 cases of fetal distress were randomly divided into A and B groups, 30 cases in each group. A group given aminophylline 0.25g slow intravenous injection of glucose solution, B group with vitamin C, vitamin K1 added glucose intravenous injection. Observation of fetal heart rate before and after treatment, amniotic fluid situation, birth of newborn blood cord blood gas analysis and neonatal Apgar score. The results showed that the improvement rate of fetal heart rate in group A was 79% and that in group B was 48% (P <0.05) after treatment. The blood pH value was lower than 7.2 in group A, 25% in group B and 42% in group B. The average PCO2 Group A was 5.98% kPa, Group B was 7.57 kPa (P <0.001), Group A was 2/30 and Group B was 10/30 (P <0, P <0.001) .05), suggesting that aminophylline for fetal recovery is effective.