摘要
目的分析产科早期新生儿贫血的相关因素,以采取措施,减少贫血的发生。方法来自北京大学人民医院2018年10月至2019年3月出生的足月儿1119例,出生6天内如发现皮肤苍白,则取静脉血查血常规。Hb<145 g/L或HCT<0.45者诊断为贫血。结果贫血儿68例,发生率为6.08(68/1119)%。除6例ABO溶血外,余62例贫血儿中阴道顺娩16例,剖宫产34例,产钳助产12例,分别占同分娩方式足月儿的3.54%(16/452)、5.37%(34/633)、35.29%(12/34),三组新生儿贫血的差异有统计学意义(P<0.001)。此外,贫血还与窒息、头颅血肿、母亲血小板减少症、前置胎盘、胎儿脐带绕颈合并宫内窘迫有关,差异有统计学意义(P<0.05)。结论早期新生儿贫血与分娩方式(剖宫产和产钳助产)、窒息、头颅血肿、母亲血小板减少症、前置胎盘、胎儿脐带绕颈合并宫内窘迫有关,故应注意对容易发生贫血的新生儿出生时的断脐时间和方式,以提高其Hb水平,减少贫血的发生。
Objective To investigate the causes of early neonatal anemia in order to reduce the incidence of anemia in newborns.Methods 1119 full term babies who were born between Oct.2018 and May.2019 in Peking University People’s Hospital were included in this study.The blood hemoglobin(Hb)and hematocrit(HCT)were tested when newborn infants looked pale in skin.,and infant anemia was diagnosed as hemoglobin<145 g/L or hematocrit<0.45.The possible causes of the anemia of these infants were analysed.Results 68 neonates were diagnosed anemia with a incidence of 6.08%(68/1119)in term infants.Besides 6 cases of ABO haematolysis,16 cases were vaginal delivery,34 uterine-incision delivery,and 12 forceps delivery,consisting of 3.54%(16/452),5.37%(34/633),and 35.29%(12/34)of each groups respectively.Statistical analysis showed a significant difference among the different delivery style(P<0.001).In addition,infant anemia was also related to asphyxia,cephalohematoma,mother thrombocytopenia,placenta praevia,and intrauterine apnoea(caused by cord around neck)(P<0.05).Conclusions Infant anemia had close relation with delivery manner(Uterine-incision and forceps delivery),asphyxia,cephalohematoma,mother thrombocytopenia,placenta praevia,and intrauterine apnoea(caused by cord around neck).Close attention should be pay to the time and methods of omphalotomy for these infants tor keep a high Hb level and decreased the incidence of infant anemia.
作者
严荔煌
邢丽莉
王淼
YAN Lihuang;XING Lili;WANG Miao(Department of Obstetrics and Gynecology,Peking University People’s Hospital,Beijing 100044,China)
出处
《中国妇产科临床杂志》
CSCD
北大核心
2020年第1期34-36,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
关键词
早期新生儿
贫血
原因
分娩方式
early newborn
anemia
etiological factor
delivery
