CAJ | 학술논문

目的：研究剖宫产80例新生儿的断脐位置与血红蛋白（Hb）之间的关系，从而降低新生儿贫血的发生率。方法：剖宫产胎儿娩出后立即断脐，实验组在靠近胎盘位置处断脐，保留脐带长度>50cm，并将脐带高于胎儿进行顺时针或逆时针旋转，将脐静脉内的血液挤入胎儿体内；对照组则按常规方法断脐。结果：实验组新生儿出生后1h和24h Hb和HCT均高于对照组（P<0.05），差异具有统计学意义。而72h血清胆红素水平两组相近（P>0.05）。结论：剖宫产时断脐位置靠近胎盘，并将脐静脉内的血液挤入胎儿体内，可有效提高新生儿体内Hb和HCT水平，降低新生儿贫血的发生。
목적：연구부궁산80례신생인적단제위치여혈홍단백（Hb）지간적관계，종이강저신생인빈혈적발생솔。방법：부궁산태인면출후립즉단제，실험조재고근태반위치처단제，보류제대장도>50cm，병장제대고우태인진행순시침혹역시침선전，장제정맥내적혈액제입태인체내；대조조칙안상규방법단제。결과：실험조신생인출생후1h화24h Hb화HCT균고우대조조（P<0.05），차이구유통계학의의。이72h혈청담홍소수평량조상근（P>0.05）。결론：부궁산시단제위치고근태반，병장제정맥내적혈액제입태인체내，가유효제고신생인체내Hb화HCT수평，강저신생인빈혈적발생。
Objective:To study the relationship on the position of umbilical cord clamping during cesarean section and neonatal hemoglobin and in order to reduce the incidence of anemia in neonate. Methods:The umbilical cords of both groups were clamped immediately after birth. But the experimental group was clamped near the placenta, keep the length of umbilical cord over 50cm and clockwiseor counterclockwise rotated in order to make the residual blood flow into the infants, while the control groups was clamped by conventional method.Results:Hemoglobin and hemat-ocrit of infants of experimental group at 1h and 24h are higher than that of control group. The difference between them is statistically significant(P<0.05). The serum bilirubin at 72h between them are not significant statistically significant (P>0.05). Conclusion:The method of umbilical cords clamping near the placenta and make the residual blood flow in-to the infants, which can improve Hb and HCT , reduce the incidence of anemia in infants.