高原地区不同时间结扎脐带对经阴道分娩早产儿的影响
The impact of umbilical cord ligation at different times on the premature infants de-livered transvaginally in plateau areas
张丹丹 1仝海英 1怡萍 1孙宝琳 2肖海雪2
作者信息
- 1. 青海大学附属医院 护理部(青海 西宁 810001)
- 2. 青海大学附属医院 产科(青海 西宁,810001)
- 折叠
摘要
目的 比较高原地区不同时间结扎脐带对早产儿短期预后的影响,为明确高原地区早产儿最佳的脐带结扎时间提供参考.方法 将高原地区经阴道分娩的100例早产儿随机分为常规组、60 s组、120 s组及180 s组各25例,分别于早产儿娩出30 s、60 s、120 s、180 s结扎脐带,比较四组早产儿出生5～7 d血红蛋白、血细胞比容、血清胆红素及相关并发症发生率.结果 四组早产儿血细胞比容及喂养不耐受、高胆红素血症、红细胞增多症发生率比较,差异无统计学意义(均P＞0.05);常规组血红蛋白显著低于其他三组,180 s组经皮胆红素显著高于其他三组(均P＜0.05);四组贫血发生率比较,差异有统计学意义(均P＜0.05).结论 高原地区早产儿脐带结扎延迟至60～120 s有助于提高早产儿出生5～7 d血红蛋白,降低贫血发生率,且不增加红细胞增多症、高胆红素血症等并发症的发生.
Abstract
Objective To compare the impact of different times of umbilical cord ligation on the short-term prognosis of premature in-fants in plateau areas,and to provide reference for determining the optimal time of umbilical cord ligation for premature infants in plateau areas.Methods A total of 100 premature infants delivered transvaginally in plateau areas were randomly divided into 25 ca-ses each in the routine group,60 s group,120 s group and 180 s group,and the umbilical cords were ligated at 30 s,60 s,120 s and 180 s after the deliveries of premature infants,respectively.The incidence of hemoglobin,hematocrit,serum bilirubin and re-lated complications of the premature infants in the four groups were compared at 5-7 days after the birth.Results There was no sta-tistical significance in the incidence of hematocrit,feeding intolerance,hyperbilirubinemia and polycytosis among the four groups(all P＞0.05).The hemoglobin of the routine group was significantly lower than that of the other three groups,and the transcuta-neous bilirubin in the 180 s group was significantly higher than that of the other three groups(both P＜0.05),and there was a statistically significant difference in the incidence of anemia among the four groups(P＜0.05).Conclusion Delayed umbilical cord ligation of premature infants in plateau areas to 60 s-120 s can improve hemoglobin and reduce the incidence of anemia at 5-7 days after the birth,and furthermore,it does not increase the incidence of complications such as polycythemia and hyperbilirubinemia.
关键词
高原地区/早产儿/延迟断脐/脐带结扎/贫血/高胆红素血症/喂养不耐受/红细胞增多症Key words
plateau areas/premature infant/delayed umbilical cord amputation/umbilical cord ligation/anaemia/hyper-bilirubinemia/feeding intolerance/polycytosis引用本文复制引用
基金项目
青海大学附属医院中青年科研基金项目(ARSF-2021-YB-25)
出版年
2024
NETL
NSTL
万方数据