上海护理2017，Vol.17Issue(3)：14-17,4.
剖宫产术前产妇输注葡萄糖溶液对新生儿低血糖的影响
Effect of intravenous infusion of glucose saline on neonatal hypoglycemia before elective cesarean delivery
摘要
Abstract
Objective To investigate the effect of intravenous infusion of glucose saline on neonatal hypoglycemia before elective cesarean delivery.Methods A total of 300 healthy pregnant women in Shanghai Sixth People's Hospital, Shanghai Jiao Tong University were selected from January 2014 to December 2015.They were randomly and equally divided into three groups.Intravenous infusion was administered till 3 h before delivery.The group A received intravenous infusion of 500 mL sodium lactate Ringer's injection without glucose, group B received intravenous infusion of 500 mL sodium lactate Ringer's injection with 5% glucose, and group C received intravenous infusion of 500 mL sodium lactate Ringer's injection with 1% glucose.The maternal venous blood glucose and insulin levels 10 min before delivery;neonatal umbilical artery blood glucose and insulin levels at birth and blood glucose level 30 min after birth;and neonatal hypoglycemia rate among three groups were compared.Results The maternal venous blood glucose level 10 min before delivery and neonatal umbilical artery blood glucose level at birth in group A were significantly lower than those in groups B and C (P<0.05), and there was no significant difference between group B and group C.The maternal venous insulin level 10 min before delivery and neonatal umbilical artery blood insulin level at birth in group A were significantly lower than those in groups B and C (P<0.05), and the values in group C were significantly lower compared with group B (P<0.05).The neonatal blood glucose level 30 min after birth in group A was significantly lower than that in groups B and C (P<0.05), and the value in group B was significantly lower compared with group C (P<0.05).The incidence of neonatal hypoglycemia in group C was the lowest (P<0.05).Conclusion Intravenous infusion of sodium lactate Ringer's injection with 1% glucose before elective cesarean delivery could effectively reduce the incidence of neonatal hypoglycemia.关键词
新生儿低血糖/择期剖宫产/乳酸钠林格注射液Key words
neonatal hypoglycemia/elective cesarean delivery/sodium lactate Ringer's injection分类
医药卫生引用本文复制引用
彭金玉,樊雅静,黄曹君..剖宫产术前产妇输注葡萄糖溶液对新生儿低血糖的影响[J].上海护理,2017,17(3):14-17,4.基金项目
上海交通大学附属第六人民医院院级课题(院内-1666). （院内-1666）
