[1]刘晶,彭燕,吕海荣*.不同断脐时间对阴道分娩早产儿的影响[J].中国计划生育和妇产科,2018,(3):73-76.
　LIU Jing,PENG Yan,LV Hai-rong*.The influence of different time of the cord clamping on preterm infants of vaginal birth[J].Chinese Journal of Family Planning & Gynecotokology,2018,(3):73-76.
点击复制

不同断脐时间对阴道分娩早产儿的影响
分享到：

《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年3期
页码:
73-76
栏目:
论著与临床
出版日期:
2018-03-25

文章信息/Info

Title:
The influence of different time of the cord clamping on preterm infants of vaginal birth
作者:
刘晶1; 彭燕2; 吕海荣3*
1. 710061陕西西安，西北妇女儿童医院产房；2. 710054陕西西安，西安市北方医院妇科；3. 710004陕西西安，西安市第四医院产房
Author(s):
LIU Jing1; PENG Yan2;  LV Hai-rong3*
1.Delivery Room,Northwest Women and Children Hospital,Xi’an Shaanxi 710061；2. Department of Gynecology，Xi'an Beifang Hospital，Xi’an Shaanxi 710054；3. Delivery room，4th Hospital of Xi'an City， Xi’an Shaanxi 710004，P.R.China
关键词:
断脐时间; 阴道分娩; 新生儿; 贫血
Keywords:
cord clamping;  vaginal birth;  preterm infants;  anemia
分类号:
R 71421
摘要:
目的探讨不同断脐时间对经阴道分娩早产儿的影响。方法选择2016年于西北妇女儿童医院阴道分娩的早产孕妇394例，随机分为观察组和对照组，观察组在分娩后30~120 s断脐，对照组在分娩后10~30 s断脐，观察两组新生儿红细胞压积、血红蛋白、贫血率、输血率、经皮胆红素(transcutaneous bilirubin，TCB)峰值、光疗天数、高胆红素血症、颅内出血情况。结果与对照组比较，观察组新生儿产后1、3、7、14和28 d时红细胞压积、血红蛋白和红细胞数目均显著增高；贫血率和输血率均显著降低［（1421 % vs 2234 %）和（355 % vs 812 %）］，差异均有统计学意义（P<005）。两组新生儿TCB峰值、光疗天数、高胆红素血症和颅内出血率比较，差异无统计学意义（P>005）。结论胎儿娩出后，脐动脉搏动减弱或消失时再断脐可能有助于提高新生儿红细胞压积、血红蛋白和红细胞数目，降低贫血发生率。
Abstract:
ObjectiveTo explore the influence of different time of cord clamping on preterm infants of vaginal birth. Methods A total of 394 preterm pregnant women who delivered vaginally at Northwestern Women and Children's Hospital from January 2016 to December 20

参考文献/References:

［1］Kaczmarczyk K, Pituch-Zdanowska A, Wiszomirska I, et al. Long-term effects of premature birth on somatic development in women through adolescence and adulthood ［J］. J Int Med Res, 2017(7): 300060517714369. ［2］Varga P, Berecz B, Gasparics, et al. Morbidity and mortality trends in very-very low birth weight premature infants in light of recent changes in obstetric care ［J］. Eur J Obstet Gynecol Reprod Biol, 2017, 211(4): 134-139. ［3］Helmo FR, Alves EAR, Moreira RAA, et al. Intrauterine infection, immune system and premature birth ［J］. J Matern Fetal Neonatal Med, 2017(4): 1-7. ［4］王晓鹏，田秀英，郑军，等．天津市早产儿流行病学调查 ［J］．中国妇幼保健，2016，31（24）：5473-5475． ［5］The World Health Organization. Cord clamping for the prevention of iron deficiency anemia in infants: optimal timing ［EB/OL］. http://www.who.int/elena/titles/cord_clamping/en，2014-02-05. ［6］Sweet DG, Carnielli V, Greisen G, et al. European consensus guidelines on the management of neonatal respiratory distress syndrome in preterm infants - 2010 update ［J］. Neonatology, 2010, 97(4): 402-417. ［7］Raju TN. Timing of umbilical cord clamping after birth for optimizing placental transfusion ［J］. Curr Opin Pediatr, 2013, 25(2): 180-187. ［8］Perlman JM, Wyllie J, Kattwinkel J, et al. Neonatal resuscitation: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations ［J］. Pediatrics, 2010, 126(5): e1319-e1344. ［9］Sweet DG, Carnielli V, Greisen G, et al. European consensus guidelines on the management of neonatal respiratory distress syndrome in preterm infants-2013 update ［J］. Neonatology, 2013, 103(4): 353-368. ［10］陆海红．不同断脐时间对阴道分娩早产儿的影响［D］．苏州：苏州大学，2016． ［11］Lalonde A, Daviss BA, Acosta A, et al. Postpartum hemorrhage Today: ICM/FIGO initiative 2004-2006 ［J］. Int J Gynaecol Obstet, 2006, 94(3): 243-253. ［12］高广云，郭艳，赵月娇，等．不同断脐时间对足月儿贫血及黄疸影响的系统评价 ［J］．护士进修杂志，2015，30（18）：1647-1651． ［13］黄蓉，万宏伟，侯燕文，等．不同断脐时间对足月儿贫血影响的Meta分析 ［J］．护理学杂志，2014，29（4）：81-83． ［14］戴淑艳，金雪静，祁慧娇．不同断脐时间对新生儿预后的影响 ［J］．现代实用医学，2014，26（1）：69-71． ［15］宋雪．延迟断脐、改变胎儿胎盘相对位置对足月顺产新生儿黄疸影响的研究 ［D］．济南：山东大学，2013．

相似文献/References:

[1]李萍,陈红,赵虎,等.妊娠期肝内胆汁淤积症患者的分娩方式探讨[J].中国计划生育和妇产科,2014,(05):0.
　LI Ping,CHEN Hong,ZHAO Hu,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2014,(3):0.
[2]李海英,刘小瑜.瘢痕子宫妊娠经阴道分娩113例临床分析[J].中国计划生育和妇产科,2014,(06):0.
　LI Hai-ying,LIU Xiao-yu,Obstetrics.[J].Chinese Journal of Family Planning & Gynecotokology,2014,(3):0.
[3]张丽娟.剖宫产术后再次妊娠经阴道分娩的临床观察[J].中国计划生育和妇产科,2015,(03):0.
　Zhang Li-juan,[J].Chinese Journal of Family Planning & Gynecotokology,2015,(3):0.
[4]李平.影响剖宫产术后再次妊娠阴道分娩成功因素分析[J].中国计划生育和妇产科,2017,(7):57.
　LI Ping.Analysis of successful factors of vaginal delivery after cesarean section[J].Chinese Journal of Family Planning & Gynecotokology,2017,(3):57.
[5]何国梅.探讨阴道分娩产后出血发生的高危因素与防范对策[J].中国计划生育和妇产科,2017,(7):75.
　HE Guo-mei.To explore the risk factors and preventive measures of vaginal delivery postpartum hemorrhage[J].Chinese Journal of Family Planning & Gynecotokology,2017,(3):75.
[6]吴丹燕,鲁云涯*,史燕红,等.不同分娩方式对生殖道B族链球菌感染孕妇 妊娠结局的影响[J].中国计划生育和妇产科,2018,(5):72.
　WU Dan-yan,LU Yun-ya*,SHI Yan-hong,et al.Effect of different delivery methods on pregnancy outcome of pregnant women with B streptococcal infection in the reproductive tract[J].Chinese Journal of Family Planning & Gynecotokology,2018,(3):72.
[7]何立梅*,罗清,冯倩,等.卡前列甲酯栓联合葡萄糖酸钙防治瘢痕子宫阴道分娩产后出血的临床研究[J].中国计划生育和妇产科,2019,(1):56.
　HE Li-mei*,LUO Qing,FENG Qian,et al.Clinical study on carboprostol suppository combined with calcium gluconate in prevention and treatment of postpartum hemorrhage caused by vaginal delivery of scar uterus[J].Chinese Journal of Family Planning & Gynecotokology,2019,(3):56.
[8]仲莞*,陈震宇,金珈汐.438例产后出血相关危险因素的临床分析[J].中国计划生育和妇产科,2019,(2):50.
　ZHONG Wan*,CHEN Zhen-yu,JIN Jia-xi.Clinical analysis of related risk factors of postpartum hemorrhage in 438 cases[J].Chinese Journal of Family Planning & Gynecotokology,2019,(3):50.
[9]王孝贤*,高洁,张茗,等.足月妊娠羊水偏少孕妇阴道分娩的临床处理探讨[J].中国计划生育和妇产科,2019,(2):62.
　WANG Xiao- xian*,GAO Jie,ZHANG Ming,et al.Clinical treatment of vaginal delivery in full-term pregnant women with borderline oligohydramnios[J].Chinese Journal of Family Planning & Gynecotokology,2019,(3):62.
[10]黄明钜,谭晓燕*,谭玲,等.乐蓓尔分娩镇痛配合音乐疗法对分娩影响的 临床研究[J].中国计划生育和妇产科,2019,(5):88.
　HUANG Ming-ju,TAN Xiao-yan*,TAN ling,et al.Clinical study on the effect of Le Beier analgesia combined with music therapy on childbirth[J].Chinese Journal of Family Planning & Gynecotokology,2019,(3):88.

更新日期/Last Update: 2018-03-25