高原地区不同时间结扎脐带对经阴道分娩早产儿的影响  

The impact of umbilical cord ligation at different times on the premature infants delivered transvaginally in plateau areas

作　　者：张丹丹 仝海英[1] 怡萍[1] 孙宝琳 肖海雪 Zhang Dandan;Tong Haiying;Yi Ping;Sun Baolin;Xiao Haixue(Nursing Department,Qinghai University Affiliated Hospital,Qinghai 810001,China)

机构地区：[1]青海大学附属医院护理部,青海西宁810001 [2]青海大学附属医院产科,青海西宁810001

出　　处：《护理学杂志》2024年第13期14-16,共3页Journal of Nursing Science

基　　金：青海大学附属医院中青年科研基金项目(ARSF-2021-YB-25)。

摘　　要：目的比较高原地区不同时间结扎脐带对早产儿短期预后的影响,为明确高原地区早产儿最佳的脐带结扎时间提供参考。方法将高原地区经阴道分娩的100例早产儿随机分为常规组、60 s组、120 s组及180 s组各25例,分别于早产儿娩出30 s、60 s、120 s、180 s结扎脐带,比较四组早产儿出生5~7 d血红蛋白、血细胞比容、血清胆红素及相关并发症发生率。结果四组早产儿血细胞比容及喂养不耐受、高胆红素血症、红细胞增多症发生率比较,差异无统计学意义(均P>0.05);常规组血红蛋白显著低于其他三组,180 s组经皮胆红素显著高于其他三组(均P<0.05);四组贫血发生率比较,差异有统计学意义(均P<0.05)。结论高原地区早产儿脐带结扎延迟至60~120 s有助于提高早产儿出生5~7 d血红蛋白,降低贫血发生率,且不增加红细胞增多症、高胆红素血症等并发症的发生。Objective To compare the impact of different times of umbilical cord ligation on the short-term prognosis of premature infants in plateau areas,and to provide reference for determining the optimal time of umbilical cord ligation for premature infants in plateau areas.Methods A total of 100 premature infants delivered transvaginally in plateau areas were randomly divided into 25 cases each in the routine group,60 s group,120 s group and 180 s group,and the umbilical cords were ligated at 30 s,60 s,120 s and 180 s after the deliveries of premature infants,respectively.The incidence of hemoglobin,hematocrit,serum bilirubin and related complications of the premature infants in the four groups were compared at 5-7 days after the birth.Results There was no statistical significance in the incidence of hematocrit,feeding intolerance,hyperbilirubinemia and polycytosis among the four groups(all P>0.05).The hemoglobin of the routine group was significantly lower than that of the other three groups,and the transcutaneous bilirubin in the 180 s group was significantly higher than that of the other three groups(both P<0.05),and there was a statistically significant difference in the incidence of anemia among the four groups(P<0.05).Conclusion Delayed umbilical cord ligation of premature infants in plateau areas to 60 s-120 s can improve hemoglobin and reduce the incidence of anemia at 5-7 days after the birth,and furthermore,it does not increase the incidence of complications such as polycythemia and hyperbilirubinemia.

关 键 词：高原地区 早产儿 延迟断脐 脐带结扎 贫血 高胆红素血症 喂养不耐受 红细胞增多症 

分 类 号：R473.71[医药卫生—护理学]