CAJ | 학술논문

目的：系统评价不同断脐时间对足月儿贫血及黄疸的影响。方法运用计算机检索 The Cochrane Li‐brary、JBI、RANO、PubMed、EMbase、Medline 、CBM、Wanfang Data、CNKI、维普数据库，查找关于不同断脐时间对足月儿贫血及黄疸影响的相关研究文献，检索时限均从建库至2015年2月14日。由2位评价员按纳入与排除标准独立筛选文献、提取资料并评价质量后，采用RevMan 5．1软件进行Meta分析。结果7项研究结果表明：延迟脐带结扎可以提高新生儿出生后3d内的红细胞比容。3项研究表明：延迟断脐可以提高新生儿出生后2d内的血红蛋白水平。3项研究结果表明：延迟脐带结扎不会显著性增加新生儿的经皮胆红素水平。3项研究结果表明：延迟脐带结扎不会增加新生儿红细胞增多症的发病率。结论延迟脐带结扎可以有效地预防新生儿贫血，并不会增加新生儿红细胞增多症和黄疸的发生率，是一种安全有效的方法。
목적：계통평개불동단제시간대족월인빈혈급황달적영향。방법운용계산궤검색 The Cochrane Li‐brary、JBI、RANO、PubMed、EMbase、Medline 、CBM、Wanfang Data、CNKI、유보수거고，사조관우불동단제시간대족월인빈혈급황달영향적상관연구문헌，검색시한균종건고지2015년2월14일。유2위평개원안납입여배제표준독립사선문헌、제취자료병평개질량후，채용RevMan 5．1연건진행Meta분석。결과7항연구결과표명：연지제대결찰가이제고신생인출생후3d내적홍세포비용。3항연구표명：연지단제가이제고신생인출생후2d내적혈홍단백수평。3항연구결과표명：연지제대결찰불회현저성증가신생인적경피담홍소수평。3항연구결과표명：연지제대결찰불회증가신생인홍세포증다증적발병솔。결론연지제대결찰가이유효지예방신생인빈혈，병불회증가신생인홍세포증다증화황달적발생솔，시일충안전유효적방법。
Objective To systematically evaluate the effects of delayed cord clamping on anemia and jaundice in term neonates .Method We search The Cochrane Library、JBI、RANO、PubMed、EMbase、Medline 、CBM、Wanfang Data、CNKI and VIP data ,to find the literature which report the effects of the method of delayed cord clamping on anemia and jaundice in term neonates .The retrieved studies were screened using inclusion and exclusion criteria in‐dependently ,and after evaluating the quality of selected studies by 2 reviewers ,we extract the data from literatures , RevMan 5 .1 was used to carry out meta‐analysis .Result Seven studies indicated that delayed cord clamping can im‐prove the hematocrit within 3 days after birth .Three studies demonstrated that delayed cord clamping can improve the hemoglobin concentration within 2 days after birth .Three studies proved that delayed cord clamping will not in‐crease the concentration of bilirubin detected through surface significantly .Three RCTs show that delayed cord clamping will not increase the risk of neonatal polycythemia .Conclusion Delayed cord clamping can effectively prevent neonatal anemia ,and do not increase the risk of neonatal polycythemia and jaundice .It is a safe and effective meth‐od .