Weidinger H, Mohr D, Haller K, Hiltmann W D, Vogel M
Z Geburtshilfe Perinatol. 1976 Aug;180(4):258-65.
The investigation was done on 50 infants born of metabolic healthy mothers. A group of 10 women received short term treatment with Partusisten and Isoptin. Another 10 were treated over the same period with Partusisten only. A further group of 15 received long term treatment (more than 7 days) with Partusisten and Isoptin and a final group of 15 mothers received placebos. Serum concentrations of glucose, immunoreactive insulin and potassium, together with acid-base-status and other important blood chemistry were determined in mothers and newborns directly postpartum. Blood sugar, immunoreactive insulin and potassium were further determined in the newborns 30 minutes, 60 minutes, 2 hours and 6 hours after birth. The results showed that a temporary relative hypoglycaemia occured in the newborns in short term as well as long term treatment with Partusisten or Partusisten in combination with Isoptin. Temporary derangements in insulin-glucose equilibrium were also seen in newborns from mothers receiving long term treatment. It was also demonstrated that approximately 1 hour post-partum, blood sugar and immunoreactive insulin of the newborn attained values compatible with normal carbohydrate metabolism. From these results it is indicated that infants born of mothers, who received tocolytic treatments with Partusisten or Partusisten in combination with Isoptin, should be given sodiumbicarbonate and glucose directly after birth.
该研究针对50名代谢健康的母亲所生的婴儿展开。一组10名女性接受了Partusisten和异搏定的短期治疗。另外10名在同一时期仅接受Partusisten治疗。另有一组15名接受了Partusisten和异搏定的长期治疗(超过7天),最后一组15名母亲接受了安慰剂。在产后即刻测定母亲和新生儿的血清葡萄糖、免疫反应性胰岛素和钾的浓度,以及酸碱状态和其他重要的血液化学指标。在出生后30分钟、60分钟、2小时和6小时进一步测定新生儿的血糖、免疫反应性胰岛素和钾。结果显示,在接受Partusisten或Partusisten与异搏定联合的短期及长期治疗的新生儿中出现了暂时性相对低血糖。在接受长期治疗的母亲所生的新生儿中也观察到胰岛素-葡萄糖平衡的暂时紊乱。还证明,产后约1小时,新生儿的血糖和免疫反应性胰岛素达到与正常碳水化合物代谢相符的值。从这些结果表明,接受Partusisten或Partusisten与异搏定联合的宫缩抑制剂治疗的母亲所生的婴儿,出生后应直接给予碳酸氢钠和葡萄糖。