延迟断脐对新生儿黄疸的影响分析

Analysis of the influence of delayed umbilical cord on neonatal jaundice

目的分析延迟断脐对新生儿黄疸的影响。方法随机抽取本院妇产科自2016年10月～2017年10月出生的新生儿78例,根据随机数字表法将其分为对照组(n=39)、观察组(n=39),对照组新生儿实施快速断脐(10s内),观察组新生儿实施延迟断脐(30～90s),分析两组新生儿黄疸发生率、总胆红素、血细胞比容、血红蛋白水平、败血症发生率。结果新生儿黄疸发生率对比显示两组差异无统计学意义(P> 0.05),两组总胆红素水平对比差异无统计学意义(P> 0.05);血细胞比容、血红蛋白水平对比显示观察组高于对照组,差异有统计学意义(P <0.05);败血症发生率对比显示观察组低于对照组,差异有统计学意义(P <0.05)。结论在新生儿断脐中,延迟断脐不会增加新生儿黄疸发生率,但其可提高新生儿血红蛋白的含量,有效降低败血症与贫血的发生概率。

Objective To analyze the effect of delayed umbilical cord on neonatal jaundice. Methods Seventyeight newborns born in the department of gynecology and obstetrics from October 2016 to October 2017 were randomly selected and divided into control group （n=39） and observation group （n=39） according to the random number table method.The control group was given rapid umbilical cord breaking （within 10s）,while the observation group was given delayed umbilical cord breaking （30-90s）.The incidence of jaundice,total bilirubin,hematoerit,hemoglobin level and septicemia in the two groups were analyzed. Results There was no significant difference in the incidence of neonatal jaundice between the two groups （P 〉 0.05）,and there was no significant difference in the level of total bilirubin between the two groups （P 〉 0.05）.The comparison of hematoerit and hemoglobin level showed that the observation group was higher than the control group,and the difference was statistically significant （P 〈 0.05）.The incidence of septicemia in the observation group was lower than that in the control group,and the difference was statistically significant （P 〈 0.05）. Conclusion Delayed umbilical cord breaking will not increase the incidence of neonatal jaundice,but it can increase the content of neonatal hemoglobin and effectively reduce the incidence of septicemia and anemia.