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剖宫产新生儿延迟断脐对母婴结局的影响 被引量:2

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摘要 目的探讨正常足月儿剖宫产术中娩出3分钟后断脐对母婴结局的影响。方法该院2016年8月至201 7年8月收治的单胎足月剖宫产临产妇14 4例,随机分为对照组与观察组各72例。对照组在新生儿娩出后30秒内断脐,观察组在新生儿娩出后3分钟断脐。比较两组产妇产后出血量和第三产程时间,新生儿血容量、胆红素、血红蛋白水平及Apgar评分。结果观察组产后出血量(245.5±21.8)ml,小于对照组的(310.8±22.4)ml;第三产程时间(7.2±1.1)分钟,明显短于对照组的(11.2±1.5)分钟;新生儿血红蛋白水平(158.5±16.6)g/L、生后4小时血容量(94.6±9.5)ml/kg,均高于对照组的(145.2±13.8)g/L、(83.1±7.8)ml/kg;差异有统计学意义(P<0.05)。两组新生儿胆红素峰值及生后1分钟与5分钟的Apgar评分接近,差异无统计学意义(P>0.05)。结论延迟断脐可预防产妇产后大出血,缩短第三产程时间,提高新生儿血容量和血红蛋白含量,且不增加胆红素水平。
作者 章姝娴
出处 《中国乡村医药》 2018年第6期5-6,共2页
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