现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2014年
17期
2580-2581
,共2页
黄疸,新生儿%贫血%红细胞增多症%高胆红素血症,新生儿%红细胞计数%延期断脐
黃疸,新生兒%貧血%紅細胞增多癥%高膽紅素血癥,新生兒%紅細胞計數%延期斷臍
황달,신생인%빈혈%홍세포증다증%고담홍소혈증,신생인%홍세포계수%연기단제
Jaundice,neonatal%Anemia%Polycythemia%Hyperbilirubinemia,neonatal%Erythrocyte count%Extended break umbilical
目的:研究延迟断脐时间与新生儿黄疸、新生儿贫血、新生儿红细胞增多症发生的相关性,并判断该方法是否能够有效预防新生儿贫血。方法将2012年3月至2013年1月在该院出生的足月新生儿401例随机分为早期快速断脐(ECC)组(206例)和延迟断脐(DCC)组(195例),对两组新生儿的经皮胆红素值,红细胞计数(RBC)、血红蛋白(Hbg)、红细胞比容(Hct)进行测定和比较。结果 DCC组新生儿出生后第1天经皮胆红素值较ECC组更低,差异有统计学意义(P<0.01),第1天以后两组经皮胆红素值比较,差异均无统计学意义(P>0.05);DCC组新生儿RBC、Hct、Hbg平均水平较ECC组高,差异均有统计学意义(P<0.01)。结论 DCC能够增加新生儿Hbg水平,但会提高新生儿红细胞增多症的发生率,对降低新生儿贫血和新生儿黄疸发生率无显著意义。
目的:研究延遲斷臍時間與新生兒黃疸、新生兒貧血、新生兒紅細胞增多癥髮生的相關性,併判斷該方法是否能夠有效預防新生兒貧血。方法將2012年3月至2013年1月在該院齣生的足月新生兒401例隨機分為早期快速斷臍(ECC)組(206例)和延遲斷臍(DCC)組(195例),對兩組新生兒的經皮膽紅素值,紅細胞計數(RBC)、血紅蛋白(Hbg)、紅細胞比容(Hct)進行測定和比較。結果 DCC組新生兒齣生後第1天經皮膽紅素值較ECC組更低,差異有統計學意義(P<0.01),第1天以後兩組經皮膽紅素值比較,差異均無統計學意義(P>0.05);DCC組新生兒RBC、Hct、Hbg平均水平較ECC組高,差異均有統計學意義(P<0.01)。結論 DCC能夠增加新生兒Hbg水平,但會提高新生兒紅細胞增多癥的髮生率,對降低新生兒貧血和新生兒黃疸髮生率無顯著意義。
목적:연구연지단제시간여신생인황달、신생인빈혈、신생인홍세포증다증발생적상관성,병판단해방법시부능구유효예방신생인빈혈。방법장2012년3월지2013년1월재해원출생적족월신생인401례수궤분위조기쾌속단제(ECC)조(206례)화연지단제(DCC)조(195례),대량조신생인적경피담홍소치,홍세포계수(RBC)、혈홍단백(Hbg)、홍세포비용(Hct)진행측정화비교。결과 DCC조신생인출생후제1천경피담홍소치교ECC조경저,차이유통계학의의(P<0.01),제1천이후량조경피담홍소치비교,차이균무통계학의의(P>0.05);DCC조신생인RBC、Hct、Hbg평균수평교ECC조고,차이균유통계학의의(P<0.01)。결론 DCC능구증가신생인Hbg수평,단회제고신생인홍세포증다증적발생솔,대강저신생인빈혈화신생인황달발생솔무현저의의。
Objective To investigate the relationship between delayed cord clamping time and the occurrence of neona-tal jaundice,neonatal anemia,neonatal polycythemia,and to judge if it can effectively prevent neonatal anemia. Methods A to-tal of 401 full-term infants,who were born in the hospital from March 2012 to January 2013,were randomly assigned to quick cord clamping(ECC) group and delayed cord clamping(DCC) group. The value of transcutaneous bilirubin,red blood cells(RBC), hemoglobin(Hbg) and hematocrit(Hct) of the two groups were determined and compared. Results At the first day after birth, the value of percutaneous bilirubin in the DCC group was lower than that in the ECC group with statistically significant difference (P<0.01),but after the first day,the values of percutaneous bilirubin had no statistically significant difference between the two groups(P>0.05). The mean levels of RBC,Hct and Hbg in the DCC group were higher than those in the ECC group with statisti-cally significant difference(P<0.01). Conclusion DCC can increase the content of neonatal Hbg,and improve the occurrence rate of neonatal polycythemia,but it has no obvious significance to reduce the incidence rate of neonatal anemia and neonatal jaundice.