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目的:探讨剖宫产术前补钙对产后出血的防治作用。方法:将需行剖宫产的产妇80例随机分为观察组50例和对照组30例,对照组于切皮前10～15 min静脉滴晶体液100 ml,观察组于切皮前10～15 min静脉滴晶体液100 ml加10%葡萄糖酸钙10 ml。比较两组产妇的术中出血量、术后24 h内出血量及血红蛋白下降值。结果:观察组在术中出血量、术后24 h内出血量及血红蛋白下降等方面均显著优于对照组,P<0.05。结论:剖宫产术前补钙能够增强子宫收缩力,预防产后出血,值得临床推广。
Objective: To investigate the prevention and treatment of postpartum hemorrhage by calcium supplementation before cesarean section. Methods: Eighty maternal women who needed cesarean section were randomly divided into observation group (50 cases) and control group (30 cases). In the control group, 100 ml of crystalloid solution was intravenously dripped 10 ~ 15 min before incision. 15 min intravenous drip crystal liquid 100 ml plus 10% calcium gluconate 10 ml. The intraoperative blood loss, the amount of hemorrhage and hemoglobin in 24 hours after operation were compared between the two groups. Results: The observation group was significantly better than the control group in intraoperative blood loss, blood loss within 24 h after surgery and hemoglobin, P <0.05. Conclusion: Caesarean section preoperative calcium can enhance uterine contractility and prevent postpartum hemorrhage, worthy of clinical promotion.