摘要
为了解剖宫产术中输注不同糖量对母婴的影响,寻找适宜输糖量,选择56例择期待产产妇,根据术前输糖量的不同分为Og(对照)、6g、12g、24g、40g五组。观察结果表明,当母体输入糖达40g时,不但可使母体血糖和胰岛素水平明显上升,而且还可出现新生儿出生后低血糖和黄疸的发生率增加。提示剖宫产术前可不输糖或限量在12g之内(5%葡萄糖液速度为10ml·kg^(-1)·h^(-1))。
Fifty-six fasting women undergoing elective caesarean section received one of the following five glucose regimens before delivery respectively, group Ⅰ:0.9% saline 800ml as control; group Ⅱ:120ml of 5% dextrose(6g) in normal saline and 680ml of 0.9% saline;group Ⅲ:240ml of 5% dextrose (12g) in normal saline and 560ml of 0.9% saline group Ⅳ:480ml of 5% dextrose(24g) in normal saline and 320ml of 0.9% saline;group Ⅴ:800ml of 5% dextrose in normal saline(40g) The results showed that the maternal and umbilical cord venous blood sugar at delivery were significantly increased in group Ⅳ and Ⅴ. In group Ⅴ,neonatal acidosis(pH=7.19±0.02) was induced, PaCO_2 and lactate elevated to 58.5±2.8mmHg and 26.1±2.5mg% separately, neonatal hypoglycaemia (36±6.8mg% )occured 2 hours after delivery. There was higher incidence of neonatal jaundice in infants of group Ⅴ than in thoseof group Ⅰ and Ⅱ. It is suggested that the larger amounts of intravenous dextrose to the maternal is harmful to the neonate during caesarean section.
出处
《中华麻醉学杂志》
CAS
CSCD
北大核心
1996年第6期266-268,共3页
Chinese Journal of Anesthesiology
