摘要
目的系统评价不同断脐时间对足月儿贫血及黄疸的影响。方法运用计算机检索The Cochrane Library、JBI、RANO、PubMed、EMbase、Medline、CBM、Wanfang Data、CNKI、维普数据库,查找关于不同断脐时间对足月儿贫血及黄疸影响的相关研究文献,检索时限均从建库至2015年2月14日。由2位评价员按纳入与排除标准独立筛选文献、提取资料并评价质量后,采用RevMan 5.1软件进行Meta分析。结果7项研究结果表明:延迟脐带结扎可以提高新生儿出生后3d内的红细胞比容。3项研究表明:延迟断脐可以提高新生儿出生后2d内的血红蛋白水平。3项研究结果表明:延迟脐带结扎不会显著性增加新生儿的经皮胆红素水平。3项研究结果表明:延迟脐带结扎不会增加新生儿红细胞增多症的发病率。结论延迟脐带结扎可以有效地预防新生儿贫血,并不会增加新生儿红细胞增多症和黄疸的发生率,是一种安全有效的方法。
Objective To systematically evaluate the effects of delayed cord clamping on anemia and jaundice in term neonates. Method We search The Cochrane Library;JBI, RANO, PubMed, EMbase, Medline、 CBM, Wanfang Data,CNKI and VIP data, to find the literature which report the effects of the method of delayed cord clamping on anemia and jaundice in term neonates. The retrieved studies were screened using inclusion and exclusion criteria independently, and after evaluating the quality of selected studies by 2 reviewers , we extract the data from literatures, RevMan 5.1 was used to carry out recta-analysis. Result Seven studies indicated that delayed cord clamping can improve the hematocrit within 3 days after birth. Three studies demonstrated that delayed cord clamping can improve the hemoglobin concentration within 2 days after birth. Three studies proved that delayed cord damping will not increase the concentration of bilirubin detected through surface significantly. Three RCTs show that delayed cord clamping will not increase the risk of neonatal polycythemia. Conclusion Delayed cord clamping can effectively prevent neonatal anemia, and do not increase the risk of neonatal polycythemia and jaundice. It is a safe and effective method.
出处
《护士进修杂志》
2015年第18期1647-1651,共5页
Journal of Nurses Training
