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延迟结扎脐带对新生儿的影响

Chinese Journal of Obsetrics & Gynecology and Pediatrics (Electronic Edition)(2020)

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Abstract
新生儿脐带结扎术是胎儿娩出后必要的医疗操作.目前临床上多采取早期结扎脐带(ECC)措施.但是,国内外多项研究结果显示,分娩时采取延迟结扎脐带(DCC)措施,对增加新生儿有效循环血容量、增加血红蛋白及铁储备、降低贫血发生率、改善心血管功能及氧合、增强免疫力等具有显著作用,而且对母儿均无严重不良影响.笔者拟就临床对适宜脐带结扎时间、胎盘输血影响因素、分娩时采取DCC对新生儿的影响及其潜在风险等最新研究进展进行阐述.
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