延迟断脐对足月妊娠期糖尿病产妇新生儿血糖的影响  

Effect of delayed umbilical cord clamping on blood glucose of full-term neonates in pregnancy with gestational diabetes mellitus

作　　者：施维妙 侯金鑫[1] 张文萱[1] 

机构地区：[1]首都医科大学附属北京妇产医院分娩室,北京100026

出　　处：《中华现代护理杂志》2017年第17期2286-2288,共3页Chinese Journal of Modern Nursing

摘　　要：目的 探讨延迟断脐对自然分娩的足月妊娠期糖尿病产妇新生儿血糖的影响.方法 采用便利取样法选择2016年8—9月在某三级甲等专科医院自然分娩的足月妊娠期糖尿病产妇60名,采用随机数字表法随机分为对照组30名与观察组30名.对照组产妇的新生儿娩出后立即断脐,常规处理脐带;观察组产妇的新生儿娩出后2 min断脐（若2 min内脐带搏动停止,即刻断脐）,常规处理脐带,比较两组新生儿生后2 h血糖变化情况.结果 观察组新生儿出生后2 h血糖为（4.27〈0.85）mmol/L,高于对照组的（3.08〈0.74）mmol/L,两组比较差异有统计学意义（t=5.778,P〈0.01）.结论 延迟断脐对自然分娩的足月妊娠期糖尿病新生儿出生后2 h低血糖有预防效果.Objective To explore the effect of delayed umbilical cord clamping on blood glucose of full-term natural neonates in pregnancy with gestational diabetes mellitus （GDM）.Methods A total of 60 full-term pregnancy puerpera with GDM and spontaneous labor from a class Ⅲ grade A special hospital were selected with the convenient sampling method between August 2016 to September 2016. They were divided into control group （n=30, umbilical cord clamping immediately after delivery, conventional processing umbilical cord） and observation group （n=30, umbilical cord clamping 2 minutes after delivery, if the umbilical cord pulse stopped within 2 minutes, than the umbilical cord should be clamped immediately, conventional processing umbilical cord） using random number table. The change of blood glucose was compared two hours after birth. Results The blood glucose of neonate in the observation group was （4.27〈0.85） mmol/L two hours after birth which was higher than that in control group （3.08〈0.74） mmol/L with a significant difference （t=5.778,P〈0.01）. Conclusions The delayed umbilical cord clamping has a preventive effect on hypoglycemia two hours after birth in full-term natural neonates in pregnancy with GDM.

关 键 词：血糖 糖尿病 妊娠 婴儿 新生 延迟断脐 

分 类 号：R473.71[医药卫生—护理学]