延迟脐带结扎对早产儿贫血及相关指标的影响
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摘要
目的分析延迟脐带结扎对早产儿贫血及相关指标的影响,为早产儿脐带结扎时间的选择提供理论依据。方法选取2016年2月-2017年10月在温州市人民医院分娩的90例早产儿为研究对象,根据脐带结扎时间分为对照组(常规脐带结扎组)和观察组(延迟脐带结扎组),每组各45例。比较两组早产儿出生后1周、2周及4周的贫血发生率、血常规指标及相关铁参数。结果观察组出生后1周、2周及4周贫血发生率均低于对照组,两组出生后1周、2周及4周的血常规指标及相关铁参数持续变化,且观察组的血常规指标及相关铁参数均显著优于对照组,差异有统计学意义(P<0. 05)。结论延迟脐带结扎防控早产儿贫血的效果较好,且对相关指标的影响也更为积极,因此迟脐带结扎的临床应用价值较高。
Objective To analyze the influence of delayed ligation of umbilical cord on anemia and related indexes of premature infants,provide a theoretical basis for selection of ligation time of umbilical cord. Methods Ninety premature infants born in Wenzhou People's Hospital from February 2016 to October 2017 were selected as study object,then they were divided into control group( routine ligation of umbilical cord) and observation group( delayed ligation of umbilical cord),45 premature infants in each group. The incidence rates of anemia,routine blood test indexes,and related iron parameters at 1,2,and 4 weeks after birth were compared between the two groups.Results The incidence rates of anemia at 1,2,and 4 weeks after birth in observation group were lower than those in control group. At 1,2,and 4 weeks after birth,routine blood test indexes and related iron parameters continuously changed in the two groups,routine blood test indexes and related iron parameters in observation group were statistically significantly better than those in control group( P<0. 05). Conclusion The prevention and control effect of delayed ligation of umbilical cord for anemia of premature infants is good,and the influence on related indexes are active,so the clinical application value of delayed ligation of umbilical cord is high.
Objective To analyze the influence of delayed ligation of umbilical cord on anemia and related indexes of premature infants,provide a theoretical basis for selection of ligation time of umbilical cord. Methods Ninety premature infants born in Wenzhou People's Hospital from February 2016 to October 2017 were selected as study object,then they were divided into control group( routine ligation of umbilical cord) and observation group( delayed ligation of umbilical cord),45 premature infants in each group. The incidence rates of anemia,routine blood test indexes,and related iron parameters at 1,2,and 4 weeks after birth were compared between the two groups.Results The incidence rates of anemia at 1,2,and 4 weeks after birth in observation group were lower than those in control group. At 1,2,and 4 weeks after birth,routine blood test indexes and related iron parameters continuously changed in the two groups,routine blood test indexes and related iron parameters in observation group were statistically significantly better than those in control group( P<0. 05). Conclusion The prevention and control effect of delayed ligation of umbilical cord for anemia of premature infants is good,and the influence on related indexes are active,so the clinical application value of delayed ligation of umbilical cord is high.
引文
[1]张月桃,洪苑,欧丽红,等.延迟脐带结扎对早产儿贫血及产妇的影响[J].中国临床研究,2017,30(5):664-666.
[2]马杏娟,周小英,褚亚苏,等.延迟脐带结扎对新生儿缺铁性贫血、铁储备的影响分析[J].中国农村卫生事业管理,2016,36(7):934-935.
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[10]梁嘉颖,李子涛,朱照平,等.r Hu-EPO联合葡萄糖酸亚铁防治极低出生体重早产儿贫血的临床疗效观察[J].热带医学杂志,2015,15(1):76-78.
[11]李莹莹,黄启凌,朱峰,等.重组人促红细胞生成素防治极低出生体质量儿贫血及脑损伤疗效观察[J].儿科药学杂志,2015,21(1):17-20.
[12]王晓燕,买里古尼·米来,张小荣,等.哈萨克族妇女妊娠期缺铁性贫血对新生儿结局的影响以及干预措施研究[J].中国卫生产业,2016,13(4):17-19.
[13]Ibrahim NO,Sukkarieh HH,Bustami RT,et al.Current umbilical cord clamping practices and attitudes of obstetricians and midwives toward delayed cord clamping in Saudi Arabia[J].Ann Saudi Med,2017,37(3):216-224.
[14]苏成杰,潘春燕,李洁琼.新生儿贫血危险因素的单因素与多元Logistic回归模型分析[J].实用临床医药杂志,2017,21(9):218-219.
[15]胡小黎,徐鑫芬,马冬梅.延迟结扎脐带对新生儿和产妇的影响[J].中华护理杂志,2014,49(7):862-866.
[16]刘月改,梁琛,柳伟伟,等.不同断脐时间新生儿结局的临床分析[J].中国妇产科临床杂志,2015,16(2):165-166.
[2]马杏娟,周小英,褚亚苏,等.延迟脐带结扎对新生儿缺铁性贫血、铁储备的影响分析[J].中国农村卫生事业管理,2016,36(7):934-935.
[3]顾珩,吴鸿波,宋丽娅,等.延迟结扎脐带对新生儿铁储备、缺铁性贫血及免疫功能的影响分析[J].中国现代药物应用,2017,11(6):1-3.
[4]万俊,王向烨,包志丹,等.延迟结扎脐带对新生儿缺铁性贫血及铁储备的影响[J].安徽医药,2015,19(4):728-730.
[5]高燕,王静竹,彭峰,等.延迟结扎脐带对足月母乳喂养儿血红蛋白及铁储存状况的影响[J].中国新生儿科杂志,2016,31(4):294-296.
[6]Dipak NK,Nanavat RN,Kabra NK,et al.Effect of delayed cord clamping on hematocrit,and thermal and hemodynamic stability in preterm neonates:a randomized controlled trial[J].Indian Pediatr,2017,54(2):112-115.
[7]Liu LY,Feinglass JM,Khan JY,et al.Evaluation of introduction of a delayed cord clamping protocol for premature neonates in a highvolume maternity center[J].Obstet Gynecol,2017,129(5):835-843.
[8]朱曦怡,甄宏,李柳青.出生脐带延迟结扎对中晚期早产儿贫血的影响[J].广西医学,2016,38(7):960-961.
[9]黄健英,李宏,李昉明,等.广州番禺大石地区早产儿及足月儿在0~2岁发生营养性缺铁性贫血的状况调查[J].广东医学,2016,37(3):418-421.
[10]梁嘉颖,李子涛,朱照平,等.r Hu-EPO联合葡萄糖酸亚铁防治极低出生体重早产儿贫血的临床疗效观察[J].热带医学杂志,2015,15(1):76-78.
[11]李莹莹,黄启凌,朱峰,等.重组人促红细胞生成素防治极低出生体质量儿贫血及脑损伤疗效观察[J].儿科药学杂志,2015,21(1):17-20.
[12]王晓燕,买里古尼·米来,张小荣,等.哈萨克族妇女妊娠期缺铁性贫血对新生儿结局的影响以及干预措施研究[J].中国卫生产业,2016,13(4):17-19.
[13]Ibrahim NO,Sukkarieh HH,Bustami RT,et al.Current umbilical cord clamping practices and attitudes of obstetricians and midwives toward delayed cord clamping in Saudi Arabia[J].Ann Saudi Med,2017,37(3):216-224.
[14]苏成杰,潘春燕,李洁琼.新生儿贫血危险因素的单因素与多元Logistic回归模型分析[J].实用临床医药杂志,2017,21(9):218-219.
[15]胡小黎,徐鑫芬,马冬梅.延迟结扎脐带对新生儿和产妇的影响[J].中华护理杂志,2014,49(7):862-866.
[16]刘月改,梁琛,柳伟伟,等.不同断脐时间新生儿结局的临床分析[J].中国妇产科临床杂志,2015,16(2):165-166.