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脐内注射缩宫素对第三产程的影响。

The effect of intraumbilical oxytocin on the third stage of labor.

作者信息

Young S B, Martelly P D, Greb L, Considine G, Coustan D R

机构信息

Department of Obstetrics and Gynecology, Brown University Program in Medicine, Women and Infants Hospital of Rhode Island, Providence.

出版信息

Obstet Gynecol. 1988 May;71(5):736-8.

PMID:3357663
Abstract

To determine whether intraumbilical oxytocin would shorten the third stage of labor, we enrolled 50 normal parturients into a randomized, double-blind protocol. Either 10 U of oxytocin diluted to 20 mL in normal saline (25 subjects) or 20 mL of normal saline alone (25 subjects) was injected into the placental circulation within one minute after cord clamping. The mean (+/- SD) duration of the third stage was 4.1 +/- 2.0 minutes in saline-treated subjects and 4.6 +/- 3.4 minutes in those treated with oxytocin. Intraumbilical oxytocin was not effective in shortening the normal third stage of labor.

摘要

为了确定脐内注射缩宫素是否会缩短第三产程,我们将50名正常产妇纳入一项随机双盲方案。在脐带夹紧后1分钟内,将10 U缩宫素用生理盐水稀释至20 mL(25名受试者)或仅20 mL生理盐水(25名受试者)注入胎盘循环。生理盐水治疗组第三产程的平均(±标准差)持续时间为4.1±2.0分钟,缩宫素治疗组为4.6±3.4分钟。脐内注射缩宫素对缩短正常第三产程无效。

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引用本文的文献

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Uterotonic agents for preventing postpartum haemorrhage: a network meta-analysis.预防产后出血的宫缩剂:一项网状荟萃分析
Cochrane Database Syst Rev. 2018 Dec 19;12(12):CD011689. doi: 10.1002/14651858.CD011689.pub3.
2
Uterotonic agents for preventing postpartum haemorrhage: a network meta-analysis.预防产后出血的宫缩剂:一项网状Meta分析
Cochrane Database Syst Rev. 2018 Apr 25;4(4):CD011689. doi: 10.1002/14651858.CD011689.pub2.
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Umbilical vein injection for the routine management of third stage of labour.脐静脉注射用于分娩第三产程的常规处理。
Cochrane Database Syst Rev. 2012 Mar 14;2012(3):CD006176. doi: 10.1002/14651858.CD006176.pub2.