中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
15期
97-99,103
,共4页
陈慧娟%吴蕾%顾红%付锦艳
陳慧娟%吳蕾%顧紅%付錦豔
진혜연%오뢰%고홍%부금염
延迟结扎%早产儿%母婴结局
延遲結扎%早產兒%母嬰結跼
연지결찰%조산인%모영결국
Delayed umbilical cord clamping%Premature infants%Neonate and maternal outcome
目的：探讨延迟结扎对产妇及早产儿结局的影响。方法选取2013年9月~2014年10月在南京医科大学附属无锡妇幼保健院(以下简称“我院”)正常分娩的产妇50例为常规断脐组，2013年10月~2014年9月在我院延迟断脐的50例产妇为延迟断脐组。比较两组产后出血量、新生儿Apgar评分、脐血血红蛋白、新生儿出生后6 d血红蛋白、血细胞比容、胆红素水平。结果新生儿生后6 d，延迟断脐组血红蛋白[(171.16±20.82)g/L]、血细胞比容[(50.44±6.15)%]均显著高于常规断脐组[(153.29±27.81)g/L，(45.95±7.83)%]，差异均有统计学意义(P<0.05)；延迟断脐组产妇第三产程时间[(9.90±2.75)s]短于常规断脐组[(14.44±2.67)s]，差异有统计学意义(P<0.05)；而两组产妇产后出血量、新生儿Apgar评分、新生儿脐血血红蛋白、生后3 d胆红素水平比较，差异无统计学意义(P>0.05)。结论延迟夹断脐带能有效预防早产儿贫血的发生，对产妇第三产程有积极影响，对早产儿胆红素水平、Apgar评分未发现有不良影响。
目的：探討延遲結扎對產婦及早產兒結跼的影響。方法選取2013年9月~2014年10月在南京醫科大學附屬無錫婦幼保健院(以下簡稱“我院”)正常分娩的產婦50例為常規斷臍組，2013年10月~2014年9月在我院延遲斷臍的50例產婦為延遲斷臍組。比較兩組產後齣血量、新生兒Apgar評分、臍血血紅蛋白、新生兒齣生後6 d血紅蛋白、血細胞比容、膽紅素水平。結果新生兒生後6 d，延遲斷臍組血紅蛋白[(171.16±20.82)g/L]、血細胞比容[(50.44±6.15)%]均顯著高于常規斷臍組[(153.29±27.81)g/L，(45.95±7.83)%]，差異均有統計學意義(P<0.05)；延遲斷臍組產婦第三產程時間[(9.90±2.75)s]短于常規斷臍組[(14.44±2.67)s]，差異有統計學意義(P<0.05)；而兩組產婦產後齣血量、新生兒Apgar評分、新生兒臍血血紅蛋白、生後3 d膽紅素水平比較，差異無統計學意義(P>0.05)。結論延遲夾斷臍帶能有效預防早產兒貧血的髮生，對產婦第三產程有積極影響，對早產兒膽紅素水平、Apgar評分未髮現有不良影響。
목적：탐토연지결찰대산부급조산인결국적영향。방법선취2013년9월~2014년10월재남경의과대학부속무석부유보건원(이하간칭“아원”)정상분면적산부50례위상규단제조，2013년10월~2014년9월재아원연지단제적50례산부위연지단제조。비교량조산후출혈량、신생인Apgar평분、제혈혈홍단백、신생인출생후6 d혈홍단백、혈세포비용、담홍소수평。결과신생인생후6 d，연지단제조혈홍단백[(171.16±20.82)g/L]、혈세포비용[(50.44±6.15)%]균현저고우상규단제조[(153.29±27.81)g/L，(45.95±7.83)%]，차이균유통계학의의(P<0.05)；연지단제조산부제삼산정시간[(9.90±2.75)s]단우상규단제조[(14.44±2.67)s]，차이유통계학의의(P<0.05)；이량조산부산후출혈량、신생인Apgar평분、신생인제혈혈홍단백、생후3 d담홍소수평비교，차이무통계학의의(P>0.05)。결론연지협단제대능유효예방조산인빈혈적발생，대산부제삼산정유적겁영향，대조산인담홍소수평、Apgar평분미발현유불량영향。
Objective To explore the influence of delayed umbilical cord clamping on premature infant and maternal outcomes Methods 50 puerperas with normal delivery from September 2013 to Octomber 2014 in Wuxi Maternal and Child Health Care Hospital Affiliated to Nanjing Medical University (“our hospital”for short) were selected as conven-tional fault umbilical group, and 50 puerperas received delayed umbilical cord clamping additionally after birth from Octomber 2013 to September 2014 in our hospital were selected as delayed umbilical cord clamping group. The amount of postpartum hemorrhage, neonate Apgar score, Hb of umbilical cord blood, Hb of newborn 6 days after birth, HCT and bilirubin level were compared between the two groups. Results 6 days after birth, the Hb [(171.16±20.82)g/L] and HCT [(50.44±6.15)%] of newborn in the delayed umbilical cord clamping group were higher than those of the control group [(153.29±27.81)g/L, (45.95±7.83)%], the differences were statistically significant (P<0.05);the third stage of la-bor time [(9.90±2.75)s] was shorter than that of the control group [(14.44±2.67)s], the difference was statistically signif-icant. There were no significant difference on postpartum hemorrhage, Apgar score, Hb of umbilical cord blood and bilirubin level 3 days after birth between two groups (P>0.05). Conclusion Delayed umbilical cord clamping is benefi-cial for premature infants to defense anemia and it brought some positive effect on the third labor for delivery women. There is no adverse effect on premature bilirubin and neonate Apgar scoring.
