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目的探析新生儿窒息延迟断脐的作用。方法 90例窒息新生儿,按断脐时机分为观察组(45例,采取延迟断脐)和对照组(45例,采取常规断脐)。比较两组新生儿Apgar评分、成功复苏率、黄疸发生率。结果观察组1、5 min的Apgar评分均较对照组优(P<0.05);观察组与对照组成功复苏率分别为100.00%、88.89%,观察组成功复苏率高于对照组(P<0.05);观察组和对照组黄疸发生率为17.78%和11.11%,比较差异无统计学意义(P>0.05)。结论对窒息新生儿采取延迟断脐可提高新生儿Apgar评分与成功复苏率,且不会增加新生儿发生黄疸的风险,推荐应用。
Objective To explore the role of neonatal asphyxia delayed off the umbilical cord. Methods Ninety asphyxiated newborns were divided into observation group (45 cases) and control group (45 cases). The navel was taken as the control group. Apgar score, successful recovery rate and incidence of jaundice were compared between the two groups. Results The Apgar scores of the observation group at 1 and 5 min were better than those of the control group (P <0.05). The successful recovery rates of the observation group and the control group were 100.00% and 88.89%, respectively. The recovery rate of observation group was higher than that of the control group ). The incidences of jaundice in observation group and control group were 17.78% and 11.11% respectively, with no significant difference (P> 0.05). Conclusion Delayed umbilical cord injury in neonates with asphyxia can improve Apgar score and success rate of newborns without increasing the risk of neonatal jaundice.