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延迟脐带结扎对早产儿并发症的影响 被引量:7

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摘要 目的探讨延迟脐带结扎(DCC)对早产儿并发症的影响。方法选取胎龄<32周、住院时间≥7d的253例早产儿为研究对象,其中出生后15s内断脐(常规脐带结扎)196例,为对照组;60s断脐57例,为DCC组。比较两组早产儿住院期间并发症[出生窒息、晚发感染、支气管肺发育不良(BPD)、脑室周围-脑室内出血(IVH)、有血流动力学异常的动脉导管开放(hs-PDA)、坏死性小肠结肠炎(NEC)]发生及处理(肺表面活性物质使用、悬浮红细胞输注)情况,黄疸持续时间。结果DDC组早产儿晚发感染发生率明显低于对照组,差异有统计学意义(P<0.05);两组早产儿出生窒息、BPD、IVH、hs-PDA、NEC发生率,肺表面活性物质使用、悬浮红细胞输注比例以及黄疸持续时间比较,差异均无统计学意义(均P>0.05)。结论对早产儿实施DCC可减少晚发感染的发生,并不增加出生窒息发生率,安全性与常规脐带结扎相当。
出处 《浙江医学》 CAS 2020年第7期720-722,共3页 Zhejiang Medical Journal
基金 绍兴市科技计划项目(2017B70005)。
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