论文部分内容阅读
目的:探讨新生儿娩出至结扎脐带时间长短与新生儿出生Apgar评分的关系。方法:对536例新生儿娩出至结扎脐带按时间不同分为A组(<1min)、B组(≥1min)。分别观察两组新生儿出生后1min、5min Apgar评分中五项指标情况(即心率、呼吸、肌张力、喉反射和皮肤颜色的得分)。结果:新生儿出生1min Apgar评分五项指标中,呼吸和皮肤颜色两项指标的评分A组高于B组(P<0.01);出生5min Apgar评分五项指标两组间差异均无统计学意义(P>0.05)。但B组新生儿Ap-gar低评分(Apgar评分≤7分)发生率高于A组(P<0.05)。结论:正常足月新生儿娩出后结扎脐带以1min内完成较合适。娩出至结扎脐带时间过长会增加新生儿出生Apgar低评分(新生儿窒息)的发生率。
Objective: To investigate the relationship between neonatal delivery until the time of ligating the umbilical cord and neonatal Apgar score. Methods: 536 cases of neonates delivered to the ligation of the umbilical cord were divided into group A (<1min) and group B (≥1min) according to time. Five indicators of Apgar score (ie, heart rate, respiration, muscle tone, laryngeal reflex and skin color scores) were observed at 1 minute and 5 minutes after birth. Results: Among the five indicators of 1-month neonatal Apgar score, the scores of respiratory and skin color were higher in group A than those in group B (P <0.01); There was no significant difference between the two groups (P> 0.05). However, Ap-gar low score (Apgar score <7 points) in group B was higher than that in group A (P <0.05). Conclusion: Normal full-term neonatal ligation of the umbilical cord to be completed within 1min more appropriate. Delivery to ligation of the umbilical cord for an extended period of time increases the incidence of neonatal Apgar low births (neonatal asphyxia).