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分析晚断脐对新生儿黄疸的影响

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目的:分析晚断脐与常规断脐对于新生儿黄疸的影响。方法将在我院临产的360例新生儿随机分为推迟断脐组(推迟组)和常规断脐组(常规组),各180例,推迟组在120s以后进行断脐,常规组10s内断脐;将两组产后胎盘余血量、脐带出血量,Apgar 评分;产后以及产后1周新生儿胆红素水平(经皮测)、血液Hb与水平进行比较,并随访产后半个月以内新生儿黄疸发生率。结果推迟组胎盘余血量、脐带出血量明显少于常规组,产后1周外周血Hb水平高于常规组;两组Apgar评分、新生儿胆红素水平和脐血Hb水平以及随访黄疸发生率无明显差异(P>0.05)。结论晚断脐不直接诱发新生儿高胆红素血症和黄疸,并且对预防新生儿贫血有积极的临床意义。
Impacts of delayed cored clamping on neonatal jaundice
Objective To analyze delayed umbilical cord ligation’s effects on neonatal jaundice. Methods Randomly divide the 360 Newborns into delayed group and conventional group in our hospital,180 each,delayed group’ umbilical cord ligation got down 2 minutes after delivery while the conventional group’ umbilical cord ligation in 10 seconds after delivery. compare the two groups of postpartum placental blood, umbilical cord bleeding, Apgar score, postpartum bilirubin levels and Postpartum bilirubin levels within a week,both transcutaneous,and blood levels of Hb,and observe the incidence of neonatal jaundice after two weeks of postpartum. Results Postpartum placental blood, umbilical cord bleeding in delayed group was significantly less than the conventional group,while Hb levels of postpartum peripheral blood in 7 days is higher than the conventional group; apgar score, neonatal bilirubin levels and cord blood Hb levels and folow-ups have no significant difference in the incidence of jaundice(P>0.05).Conclusion Delayed umbilical cord ligation have no direct effects on neonatal hyperbilirubinemia and jaundice, and it has positive clinical significance in the prevention of neonatal anemia.

newbornsjaundiceumbilicalbilirubin

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河北省怀来县妇幼保健院儿科 075400

新生儿 黄疸 断脐 胆红素

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(18)
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