挤压脐带对剖宫产儿的影响  

The influence of umbilical cord milking during cesarean section on infants

作　　者：牟莎莎 刘钦文 牟忠琛 温凤云 MU Shasha;LIU Qinwen;Mu Zhongchen;WEN Fengyun(Central Hospital of Jiaozhou,Qingdao,Shandong Province,266300;School of Psychology,Nanjing Normal University)

机构地区：[1]青岛市胶州中心医院,266300 [2]南京师范大学心理学院

出　　处：《中国计划生育学杂志》2019年第8期1038-1040,共3页Chinese Journal of Family Planning

基　　金：山东省青岛市胶州中心医院科研基金资助项目(2017-WJZD100)

摘　　要：目的:评价挤压脐带(UCM)对剖宫产中早产儿和足月儿的影响。方法:2017年2月—11月在本院剖宫产的早产儿478例和足月儿490例,分别随机分为即刻结扎组(ICC组)和脐带挤压组(UCM组),比较两组新生儿及产妇情况。结果:早产儿与足月儿UCM组新生儿窒息率明显低于ICC组(35.6%比22.0%,21.6%比16.8%,P<0.05);早产儿中UCM组血红蛋白水平(126.8±12.3g/L)高于ICC组(103.7±11.0g/L)(P<0.05);早产儿与足月儿新生儿胆红素水平和产妇术后出血量两组比较均无差异(P>0.05)。结论:相对于ICC,UCM可有效降低剖宫产儿窒息的发生率,提升早产儿的血红蛋白水平。Objective:To assess the influence of umbilical cord milking(UCM)during cesarean section on premature and full term infants.Methods:968 infants were selected and divided into observation group and control group from February 2017 to November 2017.The infants in the control group were cord clamped after born immediately,and the infants in the observation group were given UCM before cord clamped.The asphyxia rate,bilirubin level,and hemoglobin value of infants,and hemorrhage volume of women in both groups were recorded after cesarean section.Result:The asphyxia rate of infants in the observation group was significant lower than that of infants in the control group(P<0.05).In the premature infants,and the hemoglobin value of infants in the observation group were significant higher than those of infants in the control group(P<0.05).There were no significant difference in bilirubin level of infants and hemorrhage volume of women between the two groups(P>0.05).Conclusion:UCM can reduce the asphyxia rate of infants(especially for premature infants)after cesarean.And UCM can increase hemoglobin level of premature infants,but has less effect on the full term infants,which can’t increase the rate of hyperbilirubinemia of infants and hemorrhage volume of women.

关 键 词：剖宫产儿 挤压脐带 窒息率 新生儿贫血 高胆红素血症 

分 类 号：R72[医药卫生—儿科]