目的:探讨在双胎妊娠剖宫产术中应用10%葡萄糖酸钙预防产后出血的效果。方法:选择双胎妊娠行剖宫产分娩产妇300例,分为两组,实验组手术麻醉前给予10%葡萄糖酸钙静脉缓推,对照组不给予任何特殊用药。根据1987年产后出血防治协作组制定的容积法和称重法精确测量两组产后2 h出血量及产后2 h出血发生率。结果:实验组比对照组产后2 h出血量显著减少(P<0.05);产后2 h出血发生率显著降低(P<0.05)。结论:双胎妊娠剖宫产手术前给予10%葡萄糖酸钙静脉缓推可明显减少术中及术后出血量,有效预防产后出血发生,具有推广价值。 Objective: To investigate the effect of 10% calcium gluconate in preventing postpartum hemorrhage during twin pregnancy cesarean section. Methods: Three hundred pregnant women with cesarean delivery during twins pregnancy were selected and divided into two groups. The experimental group was treated with 10% calcium gluconate intravenously before anesthesia, while the control group did not receive any special medication. According to the volumetric method and the weighing method developed by the collaborative group of postpartum hemorrhage control in 1987, the amount of hemorrhage and the incidence of hemorrhage 2 h postpartum were measured accurately. Results: Compared with the control group, the amount of bleeding in experimental group decreased significantly (P <0.05) 2 h postpartum; the incidence of bleeding 2 h postpartum was significantly reduced (P <0.05). Conclusion: Intraperitoneal administration of 10% calcium gluconate slowed before cesarean section in twin pregnancy can significantly reduce intraoperative and postoperative bleeding, effectively preventing postpartum hemorrhage, and has the promotion value.