摘要
目的探讨延迟断脐法对新生儿和产妇的影响。方法选取2021年8月至2022年8月黄冈市妇幼保健院收治的396例新生儿作为研究对象,按照抽签法分为观察组(198名)与对照组(198名)。对照组采用常规方式实施断脐处理,观察组采用延迟断脐法,比较两组的产妇产后出血量、新生儿1 min Apgar评分、新生儿的血红蛋白、胆红素水平及新生儿贫血发生率。结果观察组产妇产后出血量为(125.45±2.01)ml,少于对照组产妇产后出血量(150.45±2.16)ml,差异有统计学意义(P<0.05);观察组新生儿1 min Apgar评分为(9.52±0.13)分,高于对照组新生儿1 min Apgar评分的(8.05±0.22)分,差异有统计学意义(P<0.05);观察组的新生儿血红蛋白为(176.12±18.12)g/L,高于对照组的血红蛋白(162.10±10.11)g/L,差异有统计学意义(P<0.05);观察组的胆红素峰值为(196.12±42.11)μmol/L,高于对照组的胆红素峰值(172.15±45.15)μmol/L,差异有统计学意义(P<0.05);产后2周,观察组新生儿贫血发生率为2.53%,低于对照组的6.57%,差异有统计学意义(P<0.05)。结论通过对新生儿实施延迟断脐法后,能显著改善新生儿1 min Apgar评分、血红蛋白水平,能将新生儿胆红素峰值维持在正常范围内,同时还能减少产妇产后出血量,值得临床进一步推广应用。
Objective To investigate the effect of delayed umbilical rupture on neonates and parturients.Methods A total of 396 neonates admitted to Huanggang Women and Children's Health Hospital from August 2021 to August 2022 were selected as the research objects and divided into observation group(n=198)and control group(n=198)according to the lottery method.The control group was treated with conventional umbilical cord amputation,while the observation group was treated with delayed umbilical rupture.The postpartum blood loss,1 min Apgar score of neonates,levels of hemoglobin and bilirubin of neonates and incidence of neonatal anemia were compared between the two groups.Results Postpartum blood loss in the observation group was(125.45±2.01)ml,less than that in the control group(150.45±2.16)ml,and the difference was statistically significant(P<0.05).The 1 min Apgar score in the observation group was(9.52±0.13)points,which was higher than that in the control group(8.05±0.22)points,and the difference was statistically significant(P<0.05).Neonatal hemoglobin of observation group was(176.12±18.12)g/L,higher than that of control group(162.10±10.11)g/L,the difference was statistically significant(P<0.05).The peak value of bilirubin in observation group was(196.12±42.11)μmol/L,which was higher than that in control group(172.15±45.15)μmol/L,and the difference was statistically significant(P<0.05).At 2 weeks postpartum,the incidence of neonatal anemia in the observation group was 2.53%,lower than 6.57%in the control group,and the difference was statistically significant(P<0.05).Conclusion After the delayed umbilical rupture method is performed on the newborn,the neonatal 1 min Apgar score and hemoglobin can be significantly improved,and the neonatal bilirubin peak can be maintained within the normal range,and the postpartum hemorrhage volume can be reduced,which is worthy of further clinical application.
作者
吴斌
秦乐
汪娟
易丽霞
甄妮
吴素文
WU Bin;QIN Le;WANG Juan;YI Lixia;ZHEN Ni;WU Suwen(Department of Neonatology,Huanggang Women and Children's Health Hospital,Hubei Province,Huanggang 438000,China)
出处
《中国当代医药》
CAS
2023年第15期83-85,89,共4页
China Modern Medicine
基金
湖北省黄冈市级科技计划项目(XQYF2021000039)。
