Effect of three different doses of oxytocin infusion on hemodynamic changes in cesarean delivery

S. Behdad, Zohreh Morshedizad, L. Sekhavat, Najmeh Heiranizadeh, S. Vaziribozorg
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Abstract

"In this study, we compared the effects of three doses of oxytocin infusion on hemodynamice changes at cesarean delivery. This study was double blind randomized clinical trial conducted on 120 patients who underwent cesarean delivery. Patients were randomly divided into 3 groups on the basis of dose of oxytocin to be given after delivery (group 1:10, group 2: 40; group 3: 80 units). Mean arterial blood pressure, heart rate, blood loss and received serum, uterine tone, nausea and vomiting were noted. There was a significant difference in vomiting (p=0.024), uterine tone (p=0.01), and requests for additional uterogenic drug (0.033). However, no significant difference was observed in hemodynamic changes (mean arterial blood pressure, heart rate), blood loss (0.264) and received serum (0.332) among three groups. According to the present study, higher doses of oxytocin are not recommended."
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三种不同剂量催产素输注对剖宫产血流动力学的影响
“在这项研究中,我们比较了三种剂量的催产素输注对剖宫产时血液动力学变化的影响。本研究是对120例剖宫产患者进行的双盲随机临床试验。根据分娩后给予催产素的剂量将患者随机分为3组(组1:10,组2:40;第三组:80个单元)。观察平均动脉血压、心率、失血量、接受血清、子宫张力、恶心呕吐。两组在呕吐(p=0.024)、子宫张力(p=0.01)和额外使用致子宫药物(0.033)方面差异有统计学意义。但三组患者血流动力学变化(平均动脉压、心率)、失血量(0.264)、接受血清(0.332)差异无统计学意义。根据目前的研究,不建议使用更高剂量的催产素。”
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