河北医科大学学报

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同断脐时间对产妇和新生儿结局影响的临床研究#br#

  

  1. 1.河北省衡水市第二人民医院产一科,河北 衡水 053000;2.河北省枣强县人民医院产科,河北 枣强 053100;3.河北省衡水市第五人民医院骨一科,河北 衡水 053000
  • 出版日期:2017-07-25 发布日期:2017-07-05
  • 作者简介:孙屹梅(1982-),女,河北衡水人,河北省衡水市第二人民医院主治医师,医学学士,从事产科疾病诊治研究。
  • 基金资助:
    衡水市科学技术研究与发展指导计划(2016014077Z)

Clinical study on the effect of different broken umbilical time on the outcomes of pregnant women and newborns#br#

  1. 1.The First Department of Obstetrics, the Second People′s Hospital of Hengshui City, Hebei Province,
    Hengshui 053000, China; 2.Department of Obstetrics, the People′s Hospital of Zaoqiang County,
    Hebei Province, Zaoqiang 053100, China; 3.The First Department of Orthopedics, the Fifth
    People′s Hospital of Hengshui City, Hebei Province, Hengshui 053000, China
  • Online:2017-07-25 Published:2017-07-05

摘要: [摘要]〓
〖HTH〗目的〖HTSS〗〖KG*2〗比较延迟断脐联合应用催产素与早断脐技术对产妇及新生儿围产期健康及相关并发症发生率的影响。
〖HTH〗方法〖HTSS〗〖KG*2〗剖宫产妇及新生儿210例,随机分为早结扎脐带(early or immediate cord clamping,ECC)组及延迟结扎脐带(delayed cord clamping,DCC)组。比较2组产妇年龄、孕周,新生儿体质量,第三产程时间,产后出血量,新生儿Apgar评分,产后2周新生儿黄疸和贫血发生率。
〖HTH〗结果〖HTSS〗〖KG*2〗DCC组产后出血量少于ECC组,产后2周外周血血红蛋白水平高于ECC组,产后2周贫血发生率低于ECC组,差异均有统计学意义(P<005)。2组第三产程时间、新生儿Apgar评分、新生儿出生时脐血平均血红蛋白值、生理性黄疸发生率差异均无统计学意义(P>005)。
〖HTH〗结论〖HTSS〗〖KG*2〗断脐安全期为新生儿分娩出90~120 s,适当延迟断脐时间联合应用催产素可缩短产妇第三产程,减少产后出血量,不增加或加重新生儿黄疸,并减少贫血发生。

关键词: 脐带, 产程, 第三, 婴儿, 新生

Abstract: [Abstract]  Objective〖HTSS〗〓To investigate the effects of oxytocin combined with delayed cord clamping and early cutting umbilical cord on maternal and neonatal perinatal health and related complications.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Total of 210 cases of cesarean section and neonatal was performed. All these patients were randomly assigned to control group in which umbilical cords were early cut(ECC) and experimental group in which cut umbilical cord more later(DCC). Age, gestational weeks, birth weight, third labor time, postpartum hemorrhage, bleeding and neonatal Apgar score, the occurred rate of postpartum two weeks of neonatal jaundice and anemia were recorded and analyzed.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓Postpartum bleeding volume in DCC group was less, neonatal 2 weeks in peripheral blood hemoglobin was higher and anemia occurred was lower than that in the control group. The difference is significantly different(P<005). There was no significant difference in general comparison, age, gestational age and birth weight of newborn(P>005). The third production duration and Apgar score, umbilical cord blood hemoglobin comparison, the incidence of jaundice was not statistically different compare to the control group(P>005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓The safety period of umbilical cord rupture was 90-120 s for the newborns. The proper delay of breaking the umbilical time and the use of oxytocin can shorten the third stage of labor and reduce the amount of postpartum hemorrhage. It will not increase or aggravate the jaundice of the newborn and reduce the occurrence of anemia.

Key words: umbilical cord, labor stage, third, infant, newborn