摘要
目的探讨剖宫产术中晚断脐对母婴结局的影响情况。方法回顾性分析海口市妇幼保健院2017年7月~11月收治的100例剖宫产产妇的临床资料,依据是否采用晚断脐进行分组,对照组和观察组,每组各50例。观察两组产妇第三产程时间、产后出血量、产后72 h血红蛋白、新生儿出生后24 h毛细血管血红蛋白、新生儿出生后1 min Apgar评分、新生儿出生后5 min Apgar评分、新生儿胆红素峰值、达峰值时间、并发症发生率。结果观察组产妇第三产程时间、产后出血量低于对照组,产后72 h血红蛋白高于对照组,观察组新生儿胆红素水平、新生儿胆红素峰值均高于对照组,差异有统计学意义(P<0.05);两组新生儿并发症发生率比较,差异无统计学意义(P>0.05)。结论剖宫产术中晚断脐,可以降低第三产程时间、产后出血量,提高新生儿质量,获得良好的母婴结局。
Objective To study influence of mother and baby ending in the uterine-incision delivery late broken umbilicus.Methods Clinical data of 100 cases of uterine-incision delivery puerpera in Haikou Hospital of the Maternal and Child Health from July to November 2017 were retrospectively analyzed,and they were divided into two groups according to whether delayed cord clamping or not,control group and detection group,50 cases in each group.The third stage labor,postpartum hemorrhage volume,postpartum 72 h hemoglobin,24 h capillary hemoglobin after birth,the Apgar score 1 min after birth,the Apgar score 5 min after birth,neonatal bilirubin peak,peak time,complication rate of two groups were detected.Results The third stage labor,postpartum hemorrhage volume of detection group were lower than those of the control group,the postpartum 72 h hemoglobin was higher than that of the control group,the neonatal bilirubin level,neonatal bilirubin peak of detection group were higher than those of the control group,the differences were statistical significance(P<0.05).The complication rate of two groups had no statistically significant difference(P>0.05).Conclusion The uterine-incision delivery late broken umbilicus,which can decrease the third stage labor,postpartum hemorrhage volume,improve neonatal mass,acquire good mother and baby ending.
作者
吴燕
李会英
康岚
史春
符爱贞
郭仁妃
张宏玉
WU Yan;LI Huiying;KANG Lan;SHI Chun;FU Aizhen;GUO Renfei;ZHANG Hongyu(Department of Gynaecology and Obstetrics,Haikou Hospital of the Maternal and Child Health,Hainan Province,Haikou 570203,China)
出处
《中国医药导报》
CAS
2018年第8期80-83,共4页
China Medical Herald
基金
海南自然科学基金面上项目(817394)
关键词
剖宫产
晚断脐
母婴结局
产后出血
Uterine-incision delivery
Late broken umbilicus
Mother and baby ending
Postpartum hemorrhage
