术前静脉滴注葡萄糖溶液在降低择期剖宫产新生儿低血糖发生.doc

术前静脉滴注葡萄糖溶液在降低择期剖宫产新生儿低血糖发生率的临床应用 彭金玉，樊雅静，黄曹君* 摘要：目的。方法：。结果：结论：关键词：；乳； The clinical study of reducing neonatal hypoglycemia rate in elective cesarean delivery by intravenous glucose solutions before surgery Peng Jinyu,Huang Caojing,Huang Ling,Fan Yajing. Obstetrical department,Shanghai Affiliated to Shanghai Jiao Tong University,200233,China） [Abstract]: Objective To discuss the effects of intravenous infusion of different concentrations of glucose on the blood glucose in neonates before elective cesarean section. Methods Admitted into 300 healthy pregnant women of the Sixth Peoples Hospital Affiliated to Shanghai Jiao Tong Universitythe from Jan 2014 to Dec 2015, 基金项目：上海交通大学附属第六人民医院《剖宫产术前禁食、静滴葡萄糖对新生儿产后2小时内血糖的影响》（院内-1666） 作者单位：200233 上海交通大学附属第六人民医院产科 通信作者：黄曹君，Email：huangcaojun@126.com the type of anesthesia was continuous epidural anesthesia, and all maternal had preoperative fasting for 8 hours， and then dividing them into A, B, C three groups randomly.The in group A had intravenous infusion with 500ml 0% glucose sodium?lactate?ringers?injection,while 500ml 5% glucose sodium?lactate?ringers?injection in group B,and 500ml 1% glucose sodium?lactate?ringers?injection in group C.Then counted the blood glucose/insulin values of maternal befoer surgery,the glucose/insulin values of umbilical artery blood,the neonatal blood glucose values of 0.5h within delivery and neonatal hypoglycemia rate in different groups, and analysisd the difference between them.Results The blood glucose of maternal befoer surgery and umbilical artery blood glucose values in group A was significantly lower than the others (P＜0.05), and the level in group B had no significant difference with those in group C, while the blood insulin values of maternal befoer surgery and the insulin values of umbilical artery blood in group A was significantly lower than the others (P＜0.05), and the level in group C was significantly lower than those in group B(P＜0.05),and the neonatal blood glucose values