分析晚断脐对新生儿黄疸的影响.docVIP

精品论文 参考文献 分析晚断脐对新生儿黄疸的影响 闫利霞 　　（河北省怀来县妇幼保健院儿科 075400） 　　【摘要】目的 分析晚断脐与常规断脐对于新生儿黄疸的影响。方法 将在我院临产的360例新生儿随机分为推迟断脐组（推迟组）和常规断脐组（常规组），各180例，推迟组在120s以后进行断脐，常规组10s内断脐；将两组产后胎盘余血量、脐带出血量，Apgar 评分;产后以及产后1周新生儿胆红素水平（经皮测）、血液Hb与水平进行比较，并随访产后半个月以内新生儿黄疸发生率。结果 推迟组胎盘余血量、脐带出血量明显少于常规组，产后1周外周血Hb水平高于常规组；两组Apgar评分、新生儿胆红素水平和脐血Hb水平以及随访黄疸发生率无明显差异（P＞0.05）。结论 晚断脐不直接诱发新生儿高胆红素血症和黄疸，并且对预防新生儿贫血有积极的临床意义。 　　【关键词】新生儿 黄疸 断脐 胆红素 　　【中图分类号】R722.17 【文献标识码】A 【文章编号】1672-5085（2014）18-0067-02 　　Impacts of delayed cored clamping on neonatal jaundice 　　【Abstract】 Objective To analyze delayed umbilical cord ligationrsquo;s effects on neonatal jaundice. Methods Randomly divide the 360 Newborns into delayed group and conventional group in our hospital,180 each,delayed grouprsquo; umbilical cord ligation got down 2 minutes after delivery while the conventional grouprsquo; umbilical cord ligation in 10 seconds after delivery. compare the two groups of postpartum placental blood, umbilical cord bleeding, Apgar score, postpartum bilirubin levels and Postpartum bilirubin levels within a week，both transcutaneous，and blood levels of Hb,and observe the incidence of neonatal jaundice after two weeks of postpartum. Results Postpartum placental blood, umbilical cord bleeding in delayed group was significantly less than the conventional group,while Hb levels of postpartum peripheral blood in 7 days is higher than the conventional group; apgar score, neonatal bilirubin levels and cord blood Hb levels and follow-ups have no significant difference in the incidence of jaundice(Pgt;0.05).Conclusion Delayed umbilical cord ligation have no direct effects on neonatal hyperbilirubinemia and jaundice, and it has positive clinical significance in the prevention of neonatal anemia. 　　【Key words】newborns jaundice umbilical bilirubin 　　断脐时间对新生儿的安全护理有密切联系，然而目前没有标准的断脐时间规范，断脐时间在业界仍存在持续争议。过早切断脐带对胎儿的呼吸和营养血液供应产生影响，重者致脑损伤。越过最佳时机断脐则可能诱发新生儿高胆血红症。经皮测胆红素（TCB）的方法因其无创、简便实用性已在临床上动态监测新生儿胆红素