摘要
目的探讨延迟结扎脐带对婴儿贫血及运动发育的影响。方法 152例婴儿,依据住院时间顺序分为观察组(单数,77例)和对照组(双数,75例)。观察组在胎儿娩出后120~135 s结扎脐带,在延迟结扎脐带期间将胎儿保暖后置低于胎盘10 cm的位置;对照组在胎儿娩出后30 s内结扎脐带。比较两组产妇年龄、产前血红蛋白水平、产后1d血红蛋白水平;比较两组婴儿出生体重、出生后24~48h、2月龄、3月龄时血红蛋白水平以及2月龄、3月龄时运动发育水平。结果观察组婴儿出生后24~48 h血红蛋白水平(182.73±12.70)g/L高于对照组的(164.44±9.12)g/L,差异有统计学意义(P<0.05);观察组婴儿2月龄时血红蛋白水平及运动发育评分均高于对照组,差异有统计学意义(P<0.05);观察组3月龄时血红蛋白水平及运动发育评分略高于对照组,但差异无统计学意义(P>0.05)。两组婴儿2月龄及3月龄时血红蛋白水平与运动发育水平呈正相关性(P<0.01)。结论延迟结扎脐带能减少婴儿缺铁性贫血的发生,有利于婴儿的运动发育,促进脑发育。
Objective To discuss the effect of delayed ligation of umbilical cord on anemia and motor development in infants.Methods A total of 152 infants were divided into observation group(odd number,77 cases) and control group(even number,75 cases) by admission order.In the observation group,the cord was ligated 120-135 s after delivery,and the fetus was kept warm and placed 10 cm lower than the placenta during delayed cord ligation;in the control group,the cord was ligated 30 s after delivery.Comparison was made on age,prenatal hemoglobin level,hemoglobin level at 1 d after postpartum,birth weight,hemoglobin level at 24-48 h,2-month and 3-month after postpartum,and motor development level at 2-month and 3-month of age between the two groups.Results The hemoglobin level at 24-48 h after postpartum(182.73±12.70) g/L in the observation group was higher than(164.44±9.12) g/L in the control group,and the difference was statistically significant(P<0.05).The hemoglobin level and motor development score at 2-month of age in the observation group was higher than those in the control group,and the difference was statistically significant(P<0.05).The hemoglobin level and motor development score at 3-month of age in the observation group was a little higher than those in the control group,but the difference was not statistically significant(P>0.05).There was a positive correlation between hemoglobin level and motor development level at 2 and 3 months of age in the two groups(P<0.01).Conclusion Delayed ligation of umbilical cord can reduce the occurrence of iron-deficiency anemia,promote the development of motor and brain.
作者
王向烨
万俊
凌厉
包志丹
牛利美
WANG Xiang-ye;WAN Jun;LING Li(Department of Pediatrics,Jiangyin People’s Hospital,Jiangyin 214400,China)
出处
《中国实用医药》
2019年第34期19-21,共3页
China Practical Medicine
关键词
延迟结扎脐带
缺铁性贫血
婴儿
运动发育
Delayed ligation of umbilical cord
Iron-deficiency anemia
Infants
Motor development
