中国小儿急救医学
中國小兒急救醫學
중국소인급구의학
CHINESE PEDIATRIC EMERGENCY MEDICINE
2011年
4期
341-343
,共3页
黄雪群%刘绍基%黎小玲%马可泽
黃雪群%劉紹基%黎小玲%馬可澤
황설군%류소기%려소령%마가택
延迟钳夹脐带%阴道分娩%血容量%早产儿
延遲鉗夾臍帶%陰道分娩%血容量%早產兒
연지겸협제대%음도분면%혈용량%조산인
Delayed ligature of the umbilical cord%Vaginal delivery%Blood volume%Premature infants
目的 探讨延迟钳夹脐带对早产儿早期血容量的影响.方法 将2007年10月至2010年6月在东莞市石龙博爱医院产科经阴道分娩的194例早产儿随机分为两组,即常规钳夹脐带组100例和延迟钳夹脐带组94例.比较分析两组经阴道分娩早产儿的钳夹脐带时间,生后24h、48h、72 h的Hb、RBC、红细胞压积、血压、血氧饱和度和贫血的发生率,以及生后第1天、第2天、第3天和第7天的静脉血胆红素值.结果 延迟钳夹脐带组脐带钳夹时间为(100.14±10.57)s,常规钳夹脐带组脐带钳夹时间为(22.40±5.02)s,两组脐带钳夹时间比较差异有统计学意义(P＜0.005).延迟钳夹脐带组早产儿生后前3 d的Hb及血压均比常规钳夹脐带组高,两组比较差异有统计学意义(P＜0.05).延迟钳夹脐带组94例早产儿中,3 d内发生贫血3例,发生率为3.19%,常规钳夹脐带组100例早产儿中,3 d内发生贫血11例,发生率为11.00%,延迟钳夹脐带组贫血发生率低于常规钳夹脐带组(P＜0.05).两组早产儿出生后7 d内的静脉血胆红素值比较无明显差异(P＞0.05).结论 延迟钳夹脐带对早产儿Hb及血压有明显影响,可提高阴道分娩早产儿早期血容量,减少早产儿早期贫血的发生.
目的 探討延遲鉗夾臍帶對早產兒早期血容量的影響.方法 將2007年10月至2010年6月在東莞市石龍博愛醫院產科經陰道分娩的194例早產兒隨機分為兩組,即常規鉗夾臍帶組100例和延遲鉗夾臍帶組94例.比較分析兩組經陰道分娩早產兒的鉗夾臍帶時間,生後24h、48h、72 h的Hb、RBC、紅細胞壓積、血壓、血氧飽和度和貧血的髮生率,以及生後第1天、第2天、第3天和第7天的靜脈血膽紅素值.結果 延遲鉗夾臍帶組臍帶鉗夾時間為(100.14±10.57)s,常規鉗夾臍帶組臍帶鉗夾時間為(22.40±5.02)s,兩組臍帶鉗夾時間比較差異有統計學意義(P＜0.005).延遲鉗夾臍帶組早產兒生後前3 d的Hb及血壓均比常規鉗夾臍帶組高,兩組比較差異有統計學意義(P＜0.05).延遲鉗夾臍帶組94例早產兒中,3 d內髮生貧血3例,髮生率為3.19%,常規鉗夾臍帶組100例早產兒中,3 d內髮生貧血11例,髮生率為11.00%,延遲鉗夾臍帶組貧血髮生率低于常規鉗夾臍帶組(P＜0.05).兩組早產兒齣生後7 d內的靜脈血膽紅素值比較無明顯差異(P＞0.05).結論 延遲鉗夾臍帶對早產兒Hb及血壓有明顯影響,可提高陰道分娩早產兒早期血容量,減少早產兒早期貧血的髮生.
목적 탐토연지겸협제대대조산인조기혈용량적영향.방법 장2007년10월지2010년6월재동완시석룡박애의원산과경음도분면적194례조산인수궤분위량조,즉상규겸협제대조100례화연지겸협제대조94례.비교분석량조경음도분면조산인적겸협제대시간,생후24h、48h、72 h적Hb、RBC、홍세포압적、혈압、혈양포화도화빈혈적발생솔,이급생후제1천、제2천、제3천화제7천적정맥혈담홍소치.결과 연지겸협제대조제대겸협시간위(100.14±10.57)s,상규겸협제대조제대겸협시간위(22.40±5.02)s,량조제대겸협시간비교차이유통계학의의(P＜0.005).연지겸협제대조조산인생후전3 d적Hb급혈압균비상규겸협제대조고,량조비교차이유통계학의의(P＜0.05).연지겸협제대조94례조산인중,3 d내발생빈혈3례,발생솔위3.19%,상규겸협제대조100례조산인중,3 d내발생빈혈11례,발생솔위11.00%,연지겸협제대조빈혈발생솔저우상규겸협제대조(P＜0.05).량조조산인출생후7 d내적정맥혈담홍소치비교무명현차이(P＞0.05).결론 연지겸협제대대조산인Hb급혈압유명현영향,가제고음도분면조산인조기혈용량,감소조산인조기빈혈적발생.
Objective To evaluate the effect of delayed ligature of the umbilical cord on the blood volume in premature infants in early time. Methods From Oct 2007 to Jun 2010,194 premature infants with vaginal birth in department of genecology and obstetrics were randomly divided into routine ligature of the umbilical cord group (100 cases) and delayed ligature of the umbilical cord group (94 cases), comparision were made on ligature time, blood routine examination,blood pressure,oxyhemoglobin saturation and anemia incidence in 24 h,48 h,and 72 h after birth,and hemobilirubin on 1 d,2 d,3 d,and 7 d after birth. Results There were significant differences between the two groups in delayed ligature time [(100. 14 + 10. 57) s vs (22. 40 +5.02) s,P ＜0. 05)]. The hemoglobin and blood pressure in delayed ligature umbilical group were increased significantly(P ＜ 0. 05). There was 3 cases (3. 19%) of anemia in delayed ligature of the umbilical cord group, and 11 cases (11.00%) in routine ligature of the umbilical cord group, which showed significant difference (P ＜ 0. 05). And the hemobilirubin on 7 d after birth showed no significant difference between the two groups(P ＞ 0. 05). Conclusion Delayed ligature of umbilical cord has a significant influence on hemoglobin and blood pressure of premature infant. It can increase the blood volume, and reduce the incidence of anemia in early time.
