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Received:April 22, 2019 Published Online:January 20, 2020
Received:April 22, 2019 Published Online:January 20, 2020
中文摘要: 目的 观察剖宫产术中挤压脐带(UCM)对新生儿并发症的影响。
方法 采用回顾性研究方法,选取2017年6月至2018年12月期间1 000名剖宫产新生儿为研究对象,按照术中是否利用UCM方式将脐血输给新生儿分为实验组(n=428,含124名早产儿与304名足月新生儿)与对照组(n=572,含136名早产儿与436名足月新生儿),比较两组中足月与早产新生儿窒息情况、出生后3 d血红蛋白(HGB)水平、红细胞压积(PCV)、胆红素水平。
结果 两组新生儿胆红素水平、高胆红素血症发生率比较无明显差异(P均>0.05);实验组HGB、PCV明显高于对照组,新生儿窒息和贫血发生率明显低于对照组(P<0.01,P<0.05);实验组中足月与早产新生儿窒息、高胆红素血症、贫血发生率比较无差异(P均>0.05);对照组中早产新生儿窒息和贫血发生率明显高于足月(P均<0.01),足月与早产新生儿高胆红素血症发生率相近(P>0.05)。
结论 剖宫产术中实施UCM给新生儿输血,可降低新生儿窒息和贫血发生率,且不会增加其高胆红素血症发生率,尤其对早产儿效果更明显。
Abstract:Objective To observe the impacts of umbilical cord milking(UCM) during cesarean section on neonatal complications.
Methods A retrospective analysis was made in 1 000 neonates born via cesarean section from June 2017 to December 2018.According to whether UCM was applied to transfer cord blood to neonates during cesarean section,the neonates were divided into experiment group(n=428,124 premature infants and 304 full-term infants) and control group(n=572,136 premature infants and 436 full-term infants).Neonatal asphyxia,the levels of hemoglobin (HGB),packed cell volume (PCV) and bilirubin at 3 days after birth were observed and compared between two groups.
Results There were no significant differences in bilirubin level and incidence of hyperbilirubinemia between two groups(all P>0.05).Compared with control group,the levels of HGB and PCV significantly increased,and the incidence rates of neonatal asphyxia and anemia significantly decreased in experiment group (P<0.01,P<0.05).In experiment group,there were no significant differences in the incidences of neonatal asphyxia,hyperbilirubinemia and anemia between full-term and premature infants(all P>0.05).In control group,the incidences of neonatal asphyxia and anemia in premature infants were significantly higher than those in full-term infants(all P<0.01),and there was no significant difference in the incidence of hyperbilirubinemia between them (P>0.05).
Conclusions The use of UCM for neonatal blood transfusion in nconates during cesarean section can reduce the incidence of neonatal asphyxia and anemia without increasing the incidence of neonatal hyperbilirubinemia.Its effect is more obvious for premature infants.
文章编号: 中图分类号: 文献标志码:B
基金项目:青岛卫生和计划生育委员会基金项目(2017-WJZD100)
Author Name | Affiliation |
LIU Qin-wen,ZHANG Hai-yan,QI Ping | Department of Obstetrics,Qingdao Jiaozhou Central Hospital,Qingdao,Shandong 266300,China |
Author Name | Affiliation |
LIU Qin-wen,ZHANG Hai-yan,QI Ping | Department of Obstetrics,Qingdao Jiaozhou Central Hospital,Qingdao,Shandong 266300,China |
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