摘要
目的探究两种断脐方法对阴道分娩的新生儿血红蛋白及血清胆红素水平的影响。方法对2016年3月～2018年3月于我院足月顺产的200例新生儿进行回顾性分析,根据断脐方法不同分为快速断脐组(ECC,114例)和延迟断脐组(DCC,86例),比较观察两组新生儿出生后血红蛋白(HB),红细胞压积(HCT),总胆红素(STB)和经皮胆红素(TCB)水平以及黄疸发生率。结果 DCC组产后HB和HCT水平显著高于ECC组(P <0.05);两组产后STB和TCB水平,差异无统计学意义(P> 0.05);产后第7天,DCC组和ECC组新生儿黄疸发生率差异无统计学意义(41.23%vs 38.37%,P> 0.05)。结论与快速断脐相比,给予延迟断脐的新生儿,其血液中血红蛋白的浓度升高明显,可以有效预防早期新生儿贫血,且不会增加黄疸的发生率及胆红素水平。
Objective To explore the effects of two methods for umbilical cord clamping on hemoglobin and serum bilirubin level of neonates in vaginal delivery.Methods Two hundred full-term neonates who had natural labor in our hospital from March 2016 to March 2018 were retrospectively analyzed.According to different methods for umbilical cord clamping,they were divided into the early cord clamping group(ECC,114 cases)and the delayed cord clamping(DCC,86 cases)group.The postpartum hemoglobin(HB),hematocrit(HCT),total bilirubin(STB)and transcutaneous bilirubin(TCB)levels and the incidence of jaundice were compared between the two groups.Results Postpartum HB and HCT levels in DCC group were significantly higher than those of ECC group(P<0.05).There was no statistically significant difference in postpartum STB and TCB levels between two groups(P>0.05).There was no statistically significant difference in the incidence of jaundice of neonates on 7 days after delivery in DDC group and ECC group(41.23%vs 38.37%,P>0.05).Conclusion Compared with early cord clamping,the concentration of hemoglobin in the blood of neonates given delayed cord clamping increases significantly.It can effectively prevent neonatal anemia in early period without increasing the incidence of jaundice and bilirubin level.
作者
王洋
苑桂姝
李如凯
WANG Yang;YUAN Guishu;LI Rukai(Department of Obstetrics,Shiyan People’s Hospital of Baoan District,Shenzhen 518108,China)
出处
《中国医药科学》
2019年第6期108-110,共3页
China Medicine And Pharmacy
关键词
快速断脐
延迟断脐
阴道分娩
新生儿黄疸
血红蛋白
Early cord clamping
Delayed cord clamping
Vaginal delivery
Neonatal jaundice
Hemoglobin
