中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
14期
92-93,96
,共3页
晚断脐%早断脐%早产儿%结局
晚斷臍%早斷臍%早產兒%結跼
만단제%조단제%조산인%결국
Late off umbilical%Early off umbilical%Premature infant%Outcome
目的：探析晚断脐对早产儿结局的影响。方法选择2013年3月~2014年9月本院妇产科94例早产儿作为研究对象,分为两组。对照组采取常规断脐法,观察组实行晚断脐,比较两组早产儿娩出1、5 min时Apgar评分、出生24 h后血红蛋白水平及合并症发生率。结果两组娩出后1、5 min时Apgar评分比较,差异无统计学意义(P跃0.05)；观察组早产儿出生24 h后毛细血管血红蛋白水平为(181.9±15.6)g/L,显著高于对照组,差异有统计学意义(P<0.05)；观察组早产儿出现1例颅内出血、1例新生儿窒息、1例呼吸窘迫综合征、1例高胆红素血症、2例缺氧缺血性脑病,发生率为12.8%(6/47),显著低于对照组29.8%(14/47),差异有统计学意义(字2=4.065,P=0.044)。结论与早断脐相比,早产儿采取晚断脐可获得更多血供及铁储备,进而增强早产儿心肺系统顺应性及机体免疫力,减少各种合并症,改善早产儿结局,具有较大的临床参考价值。
目的：探析晚斷臍對早產兒結跼的影響。方法選擇2013年3月~2014年9月本院婦產科94例早產兒作為研究對象,分為兩組。對照組採取常規斷臍法,觀察組實行晚斷臍,比較兩組早產兒娩齣1、5 min時Apgar評分、齣生24 h後血紅蛋白水平及閤併癥髮生率。結果兩組娩齣後1、5 min時Apgar評分比較,差異無統計學意義(P躍0.05)；觀察組早產兒齣生24 h後毛細血管血紅蛋白水平為(181.9±15.6)g/L,顯著高于對照組,差異有統計學意義(P<0.05)；觀察組早產兒齣現1例顱內齣血、1例新生兒窒息、1例呼吸窘迫綜閤徵、1例高膽紅素血癥、2例缺氧缺血性腦病,髮生率為12.8%(6/47),顯著低于對照組29.8%(14/47),差異有統計學意義(字2=4.065,P=0.044)。結論與早斷臍相比,早產兒採取晚斷臍可穫得更多血供及鐵儲備,進而增彊早產兒心肺繫統順應性及機體免疫力,減少各種閤併癥,改善早產兒結跼,具有較大的臨床參攷價值。
목적：탐석만단제대조산인결국적영향。방법선택2013년3월~2014년9월본원부산과94례조산인작위연구대상,분위량조。대조조채취상규단제법,관찰조실행만단제,비교량조조산인면출1、5 min시Apgar평분、출생24 h후혈홍단백수평급합병증발생솔。결과량조면출후1、5 min시Apgar평분비교,차이무통계학의의(P약0.05)；관찰조조산인출생24 h후모세혈관혈홍단백수평위(181.9±15.6)g/L,현저고우대조조,차이유통계학의의(P<0.05)；관찰조조산인출현1례로내출혈、1례신생인질식、1례호흡군박종합정、1례고담홍소혈증、2례결양결혈성뇌병,발생솔위12.8%(6/47),현저저우대조조29.8%(14/47),차이유통계학의의(자2=4.065,P=0.044)。결론여조단제상비,조산인채취만단제가획득경다혈공급철저비,진이증강조산인심폐계통순응성급궤체면역력,감소각충합병증,개선조산인결국,구유교대적림상삼고개치。
Objective To probe into the effect of late off umbilical on premature infant. Methods 94 cases of premature infants in the department obstetrics of our hospital from March 2013 to September 2014 were selected,and were divided into two groups.Control group was adopted to conventional umbilical method,observation group was adopted to late umbilical.Apgar score of 1 min and 5 min,birth 24 h hemoglobin level and complications between two groups was compared respectively. Results Apgar score of 1 min, 5 min after delivery of two groups had no significant difference (P>0.05);Capillary hemoglobin levels of preterm infants born after 24 h in observation group was (181.9±15.6) g/L,was significantly higher than that in control group,with significant difference (P<0.05),1 cases of intracranial hemorrhage,1 cases of neonatal asphyxia and 1 cases of respiratory distress syndrome,1 cases of hyperbilirubinemia and 2 cases of hypoxic ischemic encephalopathy,the incidence rate was 12.8%(6/47),was significant lower than 29.8%(14/47) in control group,with significant difference (χ2=4.065,P=0.044). Conclusion Comparing with early umbilical,premature to take the late off umbilical can get more blood supply and iron reserves,thus enhancing the body immunity and conform to cardiovascular system and reduce various complications, improve neonatal outcomes,with great clinical reference value.
