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目的 比较钙剂持续静滴与钙剂间断静滴治疗婴儿手足搐搦症的效果。方法 治疗组用 10 %葡萄糖酸钙 5ml/ (kg·d) ,用 10 %葡萄糖 15 0ml稀释 ,每分钟 2～ 3滴 /公斤体重 ,疗程 3～ 5天 ,对照Ⅰ组 10 %葡萄糖酸钙每次 10ml,用 10 %葡萄糖 2 0ml稀释 ,30分钟内静滴 ,每日 1次 ;对照Ⅱ组剂量同对照Ⅰ组 ,每日 2次 ,两对照组疗程 7～ 10天。结果 治疗组治疗后 1,3天血钙达正常水平 ,与对照组比较 ,P均 <0 0 1;尿钙测定三组无明显差异 ,P >0 0 5 ;临床症状 3天内控制者治疗组占 88 9% ,对照Ⅰ组 45 0 %、对照Ⅱ组 5 0 0 % ,P <0 0 1。结论 钙剂持续静滴治疗婴儿手足搐搦症疗效显著。
Objective To compare the effects of continuous intravenous infusion of calcium and discontinuous intravenous infusion of calcium in the treatment of infantile tetany. Methods The treatment group was treated with 10% calcium gluconate 5ml / (kg · d), diluted with 15ml of 10% glucose, 2-3 drops / kg body weight per minute for 3 ~ 5 days. Times 10ml, with 10% glucose 20ml diluted, intravenous infusion within 30 minutes, 1 day; control group Ⅱ dose with the control group Ⅰ, twice daily, the two control groups of 7 to 10 days. Results In the treatment group, the level of serum calcium reached the normal level at 1 and 3 days after treatment, P <0 01; there was no significant difference between the three groups in urinary calcium test (P> 0.05); the clinical symptoms within 3 days Accounting for 88.9% in the control group, 45% in the control group, and 500% in the control group, P <0.01. Conclusion The continuous intravenous infusion of calcium treatment of tetany in infants with significant effect.