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延迟断脐对新生儿窒息预后的影响 被引量:6

The clinical study of the delayed umbilical cord clamping on neonatal asphyxia
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摘要 目的探讨延迟断脐法对新生儿窒息预后的影响。方法 110例窒息新生儿给予延迟断脐处理,对照组的90例新生儿采取常规断脐处理(出生后10s内)。观察两组新生儿复苏成功率、Apgar恢复情况及复苏以后黄疸发生的情况。结果延迟断脐的新生儿组其Apgar评分明显比对照组高,复苏所需时间小于对照组。并且患者为轻度窒息时不需要使用药物复苏,复苏成功率要明显比对照组高。两组新生儿黄疸的发生率以及是否需要光疗没有差异。结论采取延迟断脐可以让新生儿复苏成功率明显提高,并且缩短复苏所需时间,没有增加新生儿黄疸的风险,有效并且安全,值得推广。 Objective To explore the delayed umbilical cord clamping influence on neonatal asphyxia anabiosis and prognosis. Methods We adopt umbilical delay measures in 110 cases of asphyxial newborns ( cut umbilical cord after Umbilical beat weakened ) ,and take conventional measures to cut umbilical cord in the control group 90 cases(within 10 seconds after birth).Observation neonatal Apgar recovery,the success rate of recovery and the circumstance of Jaundice,whether need phototherapy and evaluate two groups of cases. Results The umbilical delay group's Apgar score are significantly higher than the control group,and the recovery time was also lower than the control group,the mild asphyxia recovery needn't drugs,the success rate of recovery is also higher than the control group,but there is no difference between these two groups. Conclusion Adopting umbilical delay measures can improve the Success rate of recovery,shorten the recovery time and also don't increase the risk of neonatal jaundice.So it is a safe and effective medical care to be promoted.
作者 高红梅
出处 《中国医药科学》 2013年第22期213-214,共2页 China Medicine And Pharmacy
关键词 新生儿窒息 延迟断脐 预后 Neonatal asphyxia Delayed umbilical cord clamping Prognosis
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