本文選題：陰道分娩 + 早產(chǎn)兒��； 參考：《蚌埠醫(yī)學(xué)院學(xué)報(bào)》2017年08期

【摘要】：目的:探討不同斷臍時(shí)間對(duì)陰道分娩早產(chǎn)兒的影響。方法:選擇120例經(jīng)陰道分娩的早產(chǎn)兒及產(chǎn)婦作為研究對(duì)象。將120例產(chǎn)婦按照隨機(jī)數(shù)字表法分為A、B、C、D組,各30例。A組:產(chǎn)后10 s內(nèi)立即斷臍;B組:產(chǎn)后30 s斷臍;C組:產(chǎn)后60 s斷臍;D組:產(chǎn)后90 s斷臍。收集各組產(chǎn)婦、新生兒基本資料,記錄各組新生兒血紅蛋白(Hb)和紅細(xì)胞壓積(HCT)值、貧血發(fā)生率、輸血率、經(jīng)皮膽紅素高峰值、光療時(shí)間、高膽紅素血癥發(fā)生率、顱內(nèi)出血發(fā)生率。結(jié)果:B、C、D組早產(chǎn)兒生后24 h Hb和HCT值均高于A組(P0.01),B、C、D組比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。B、C、D組早產(chǎn)兒出生后1周Hb和HCT值均高于A組(P0.01),且D組高于B、C組(P0.01),B組與C組之間差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。B、C、D組早產(chǎn)兒貧血率、輸血率均低于A組(P0.05),B、C、D組之間差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。4組早產(chǎn)兒之間經(jīng)皮膽紅素高峰值、光療時(shí)間、高膽紅素血癥發(fā)生率、顱內(nèi)出血發(fā)生率差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:對(duì)經(jīng)陰道分娩的早產(chǎn)兒延遲斷臍30~90 s,可以改善新生兒血供,降低貧血發(fā)生率和輸血率,且并不增加膽紅素升高風(fēng)險(xiǎn)和光療的風(fēng)險(xiǎn)。如果條件允許,延遲結(jié)扎臍帶90 s能更好地改善早產(chǎn)兒預(yù)后。
[Abstract]:Objective: To investigate the effect of different umbilical time on preterm infants of vaginal delivery. Methods: 120 preterm and parturient women who were given vaginal delivery were selected as the research subjects. 120 cases were divided into A, B, C, D, 30.A groups, each of which were immediately broken umbilical cord within 10 s postpartum; B group: 30 s broken umbilical cord after postpartum; group C: 60 s broken umbilical after postpartum; D group: postpartum 90 s break. The basic data of all groups of mothers and neonates were collected, the values of hemoglobin (Hb) and hematocrit (HCT), the incidence of anemia, the rate of blood transfusion, the high peak value of transdermal bilirubin, the time of phototherapy, the incidence of hyperbilirubinemia, and the incidence of intracranial hemorrhage were recorded. Results: the 24 h Hb and HCT of the premature infants in the group of B, C and D were all higher than those of the A group (P0.01), B, C, and HCT There was no statistical significance (P0.05) (P0.05).B, C, and D in group D were higher than that in group A (P0.01), and D group was higher than B, C group (P0.01). There was no significant difference between the high peak value of the transdermal bilirubin, the time of phototherapy, the incidence of hyperbilirubinemia and the incidence of intracranial hemorrhage (P0.05). Conclusion: delayed umbilical cord 30~90 s in preterm neonates with vaginal delivery could improve the blood supply of the newborn, reduce the incidence of anemia and the rate of blood transfusion, and did not increase the risk of bilirubin elevation and phototherapy. If conditions permit, delayed ligation of umbilical cord 90 s can better improve the prognosis of premature infants.
【作者單位】： 湖北省武漢市江夏區(qū)第一人民醫(yī)院院感辦;湖北省武漢市江夏區(qū)第一人民醫(yī)院護(hù)理部;
【分類號(hào)】：R714.3

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