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目的探讨延迟新生儿脐带结扎与新生儿黄疸关系。方法 186例新生儿,将其随机分为观察组和对照组,每组93例。对照组给予快速脐带结扎,观察组给予延迟脐带结扎。比较两组新生儿总胆红素、血红蛋白以及红细胞压积值情况。结果观察组新生儿总胆红素为(201.2±29.5)μmol/L,血红蛋白(176.3±16.3)g/L,红细胞压积(0.62±0.03)L/L;对照组新生儿总胆红素为(199.6±30.2)μmol/L,血红蛋白(177.5±17.5)g/L,红细胞压积(0.63±0.04)L/L,两组比较差异均无统计学意义(P>0.05)。结论延迟新生儿脐带结扎可以提升贫血与败血症防御功能,有效提高患者脐周部质量,但不会提高新生儿黄疸发生率,值得临床大力推广。
Objective To investigate the relationship between delayed neonatal umbilical cord ligation and neonatal jaundice. Methods 186 neonates were randomly divided into observation group and control group with 93 cases in each group. The control group was given rapid umbilical cord ligation, and the observation group was given delayed umbilical cord ligation. The total neonatal bilirubin, hemoglobin and hematocrit were compared between the two groups. Results The total bilirubin in the observation group was (201.2 ± 29.5) μmol / L, and the hemoglobin (176.3 ± 16.3) g / L and hematocrit (0.62 ± 0.03) L / (199.6 ± 30.2) μmol / L, hemoglobin (177.5 ± 17.5) g / L and hematocrit (0.63 ± 0.04) L / L respectively. There was no significant difference between the two groups (P> 0.05). Conclusion Delayed neonatal umbilical cord ligation can enhance the defense function of anemia and septicemia, effectively improve the quality of umbilical cord, but will not increase the incidence of neonatal jaundice, it is worth to clinically promote.