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足月、早产和极早产婴儿脐带早夹与晚夹的比较

[Early vs delayed clamping of the umbilical cord in full term, preterm and very preterm infants].

作者信息

Møller Nini Katja, Weber Tom

机构信息

Nordsjaellands Hospital i Hillerød, Gynaekologisk-obstetrisk Afdeling, Hillerød.

出版信息

Ugeskr Laeger. 2008 May 26;170(22):1919-21.

Abstract

Randomized studies from 2006 and two meta-analyses published in 2007 agree that clamping of the umbilical cord can be delayed. For the preterm and very preterm infant benefits include less need for blood transfusion and less morbidity, especially for the very preterm male infant. For the term infant benefits include improved hematologic status measured as hematocrit and iron status and less risk of anaemia during the first months of life. No harmful effects were seen, even though significant polycythaemia could be demonstrated.

摘要

2006年的随机研究以及2007年发表的两项荟萃分析均表明,脐带结扎可以延迟。对于早产和极早产婴儿,好处包括减少输血需求和降低发病率,尤其是对于极早产男婴。对于足月儿,好处包括以血细胞比容衡量的血液学状况改善、铁状态改善以及出生后最初几个月患贫血的风险降低。尽管可以证明有明显的红细胞增多症,但未观察到有害影响。

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