| Journal: | Revista médica del Instituto Mexicano del Seguro Social |
| Database: | PERIÓDICA |
| System number: | 000346981 |
| ISSN: | 0443-5117 |
| Authors: | Vázquez Rodríguez, Juan Gustavo1 Becerril Serrano, Alma1 |
| Institutions: | 1Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, México, Distrito Federal. México |
| Year: | 2012 |
| Season: | Mar-Abr |
| Volumen: | 50 |
| Number: | 2 |
| Pages: | 183-188 |
| Country: | México |
| Language: | Español |
| Document type: | Artículo |
| Approach: | Experimental, caso clínico |
| Spanish abstract | Objetivo: comparar el efecto de dos esquemas de líquidos cristaloides sobre la glucemia de pacientes con preeclampsia severa. Métodos: estudio transversal que incluyó dos grupos de pacientes: el A (123 casos) recibió solución con glucosa a 10 % y el B (146 casos) lactato de Ringer. Al final del tratamiento se comparó la glucemia, depuración de la creatinina endógena (DCrE), la frecuencia de infección urinaria y el tiempo de estancia hospitalaria. Análisis estadístico: t de Student y correlación de Pearson. Resultados: al comparar los grupos A y B la glucemia final del A resultó mayor que la del B (168.27 ± 70.85 adversus 94.20 ± 26.63, p = 0.009); no hubo diferencias en la DCrE (p = 0.14) ni en la infección urinaria (21.95 % [27 casos] adversus 18.48 % [27 casos], (p = 0.43). La estancia resultó diferente (2.2 ± 1.79 adversus 2.67 ± 1.78 días, p = 0.03). Conclusiones: las pacientes con preeclampsia severa tratadas con solución con glucosa a 10 % presentaron hiperglucemia significativa no así las que recibieron lactato de Ringer |
| English abstract | Background: treatment of severe preeclampsia (SP) includes administration of crystalloid solutions to expand plasma circulating volume. Our objective was to compare the effects of two schemes of crystalloid solutions on glycemia in patients with SP. Methods: cross-sectional study with two groups of patients: group A (123 patients) received a 10 % glucose solution and group B (146 patients) received Ringer lactate solution. We compared glycemia, endogenous creatinine clearance (ECrCl), frequency of urinary tract infection (UTI) and length of hospital stay. Student t-test and Pearson correlation coefficient were used. Results: final glycemia of group A was higher than group B (168.27 ± 70.85 adversus 94.20 ± 26.63, p = 0.009). No differences were shown in ECrCl (group A 99.26 ± 30.67 adversus group B, p = 0.14) or in UTI [group A 21.95 % (27 cases) adversus group B 18.48 % (27 cases) (p = 0.43)]. Length of hospital stay was different (group A 2.2 ± 1.79 adversus group B 2.67 ± 1.78 days, p = 0.03). Conclusions: patients receiving a 10 % glucose solution presented significant hyperglycemia but not in the group receiving Ringer lactate solution |
| Disciplines: | Medicina |
| Keyword: | Ginecología y obstetricia, Terapéutica y rehabilitación, Preeclampsia, Hiperglucemia, Embarazo, Cristaloides |
| Keyword: | Medicine, Gynecology and obstetrics, Therapeutics and rehabilitation, Preeclampsia, Hyperglycemia, Pregnancy, Crystaloids |
| Full text: | Texto completo (Ver HTML) |
