延迟脐带结扎对新生儿血红蛋白及黄疸的影响

发布时间：2018-04-14 19:54

  本文选题：延迟脐带结扎 + 血红蛋白　； 参考：《广东医学》2017年23期

【摘要】：目的探讨延迟脐带结扎对足月顺产新生儿血红蛋白、红细胞压积和红细胞增多症及新生儿高胆红素血症发生率的影响。方法回顾足月顺产分娩的新生儿病例126例,分为观察组(63例)和对照组(63例)。观察组延迟脐带结扎60 s,对照组娩出15 s内结扎脐带。比较两组新生儿血红蛋白及红细胞压积,评价红细胞增多症发生率,并随访2周内新生儿高胆红素血症发生率。结果观察组新生儿血红蛋白、红细胞压积及红细胞增多症发生率较对照组高(P0.05),但两组新生儿2周内新生儿高胆红素血症发生率差异无统计学意义(P0.05)。结论延迟脐带结扎可明显提高新生儿血红蛋白水平,并明显提高红细胞增多症发生率,但对新生儿高胆红素血症发生率无明显影响。
[Abstract]:Objective to investigate the effect of delayed umbilical cord ligation on hemoglobin, hematocrit, polycythemia and hyperbilirubinemia in full-term neonates.Methods A total of 126 neonates were divided into observation group (n = 63) and control group (n = 63).In the observation group, the ligation of umbilical cord was delayed for 60 s, and the umbilical cord was ligated within 15 seconds in the control group.The incidence of polycythemia was evaluated by comparing hemoglobin and hematocrit between the two groups, and the incidence of hyperbilirubinemia in neonates was followed up for 2 weeks.Results the incidence of hemoglobin, hematocrit and polycythemia in the observation group was higher than that in the control group (P 0.05), but there was no significant difference between the two groups in the incidence of neonatal hyperbilirubinemia within 2 weeks.Conclusion delayed umbilical cord ligation can significantly increase the level of neonatal hemoglobin and the incidence of polycythemia, but has no significant effect on the incidence of neonatal hyperbilirubinemia.
【作者单位】： 深圳市南山区妇幼保健院新生儿科;
【分类号】：R722.17

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