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中华妇幼临床医学杂志(电子版) ›› 2020, Vol. 16 ›› Issue (04) : 381 -385. doi: 10.3877/cma.j.issn.1673-5250.2020.04.002

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延迟结扎脐带对新生儿的影响
赵晓谈1, 温晓红1,†(), 黄金华1   
  1. 1. 安徽医科大学第三附属医院/合肥市第一人民医院儿科　230061
  • 收稿日期:2020-02-11 修回日期:2020-07-08 出版日期:2020-08-01
  • 通信作者: 温晓红

Effect of delayed cord clamping on neonates

Xiaotan Zhao1, Xiaohong Wen1,†(), Jinhua Huang1   

  1. 1. Department of Pediatrics, the First Affiliated Hospital of Anhui Medical University, Hefei First People′s Hospital, Hefei 230061, Anhui Province, China
  • Received:2020-02-11 Revised:2020-07-08 Published:2020-08-01
  • Corresponding author: Xiaohong Wen
  • About author:
    Corresponding author: Wen Xiaohong, Email:
  • Supported by:
    Program for Science and Technology Development of Anhui Province(1604a0802093)
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赵晓谈, 温晓红, 黄金华. 延迟结扎脐带对新生儿的影响[J]. 中华妇幼临床医学杂志(电子版), 2020, 16(04): 381-385.

Xiaotan Zhao, Xiaohong Wen, Jinhua Huang. Effect of delayed cord clamping on neonates[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2020, 16(04): 381-385.

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。

关键词: 延迟断脐, 血容量不足, 血液灌注, 血流动力学, 贫血，新生儿, 输血，自体, 时间安排，脐带结扎术, 婴儿，新生

Neonatal ligation of cord is a necessary medical procedure after delivery of fetus. At present, early cord clamping (ECC) is mostly used in clinical practice. However, many results of research at home and abroad show that delayed cord clamping (DCC) can increase effective circulating blood volume of neonates. It has a significant effect on increasing hemoglobin and iron reserve, reducing neonatal anemia, improving cardiovascular function and oxygenation, and enhancing immunity of neonates. No serious adverse effects of DCC on neonates and their mothers have been found. The author intends to elaborate on latest research status of clinical suitable umbilical cord ligation time, influencing factors of placental transfusion, the effect of taking DCC during delivery on neonates and their potential risks.

Key words: Delayed cord clamping, Hypovolemia, Hemoperfusion, Hemodynamics, Anemia, neonatal, Blood transfusion, autologous, Time management, ligation of umbilical cord, Infant, newborn
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