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目的探讨不同断脐时间对新生儿预后的影响。方法选取2012年10月至2013年10月在我妇产科分娩的新生儿220例,随机分为早断脐组和晚断脐组,晚断脐组新生儿出生后2 min左右行脐带结扎,早断脐组在正常新生儿出生后10 s内行脐带结扎,比较两组新生儿出生1 h和24 h的血红蛋白(Hb)、血细胞比容(HCT)水平。结果晚断脐组新生儿出生1 h和24 h的Hb、HCT水平均明显高于早断脐组,差异有统计学意义(P<0.05)。结论晚断脐可提高新生儿的血容量,增加血红蛋白浓度,有效预防新生儿贫血,消除过早断脐对新生儿潜在的不良影响。
Objective To investigate the effect of different broken umbilical time on the prognosis of newborn. Methods Totally 220 newborns delivered in our obstetrics and gynecology department from October 2012 to October 2013 were randomly divided into two groups: navel decoction group and late decubitus group, and neonatal hypothyroidism group received umbilical cord ligation , Umbilical cord ligature was performed within 10 s after birth in the normal morning umbilical cord, and the levels of hemoglobin (Hb) and hematocrit (HCT) were compared between the two groups at 1 hour and 24 hours after birth. Results The levels of Hb and HCT at 1 hour and 24 hours after birth in the umbilical group were significantly higher than those in the group with early umbilical cord disconnection, the difference was statistically significant (P <0.05). Conclusion The late breaking umbilical cord can improve the neonatal blood volume, increase hemoglobin concentration, effectively prevent neonatal anemia and eliminate the potential adverse effects of premature umbilical cord injury on neonates.