LI Guangzhong, LIU Xiping, LUO Weijuan, HU Caiyun, LIU Jiangping. Effect of umbilical cord milking in labor on cerebral injury of premature infants[J]. Journal of Clinical Medicine in Practice, 2020, 24(15): 115-118. DOI: 10.7619/jcmp.202015033
Citation: LI Guangzhong, LIU Xiping, LUO Weijuan, HU Caiyun, LIU Jiangping. Effect of umbilical cord milking in labor on cerebral injury of premature infants[J]. Journal of Clinical Medicine in Practice, 2020, 24(15): 115-118. DOI: 10.7619/jcmp.202015033

Effect of umbilical cord milking in labor on cerebral injury of premature infants

More Information
  • Received Date: April 28, 2020
  • Published Date: September 09, 2020
  • Objective To investigate the effect of umbilical cord milking(UCM)at birth on cerebral injury of premature infants. Methods Totally 45 premature infants were selected and randomly divided into immediate cord clamping(ICC)group, delayed cord clamping(DCC)group and umbilical cord milking(UCM)group, with 15 cases in each group. The blood routine indexes, bilirubin index, cerebral injury condition and neurologic sequelae condition were compared among the three groups. Results At 24 h and 7 d after birth, the levels of red blood cell(RBC), hemoglobin(Hb)and hematocrit(HCT)in the DCC group and the UCM group were significantly higher than those in the ICC group(P<0.05). At 6, 12, 24, 48, 72 h after birth, there was no significant difference in transcutaneous bilirubin level among the three groups(P>0.05). In the DCC group and the UCM group, the incidence and severity of birth asphyxia, the incidence rates of hypoxic-ischemic encephalopathy, cerebral hemorrhage, blood transfusion and neurological sequelae, and hospital stay were significantly better than those in the ICC group(P<0.05). Conclusion UCM can effectively improve the blood volume of premature infants, reduce the incidence of cerebral injury and neurologic sequelae, and safety is relatively high.
  • 周春秀, 樊雪梅, 李六兰, 等. 不同断脐方法对胎龄低于32周早产儿循环系统的影响[J]. 护理学杂志, 2018, 33(2):5-8.
    王雪茵, 张馨月. 延迟脐带结扎与脐带挤压对早产儿的影响:随机对照试验[J]. 中华围产医学杂志, 2019, 22(8):569-569.
    钱微琳, 陶亚琴, 陈慧娟. 延迟结扎脐带对阴道分娩早产儿脑室周围-脑室内出血的影响[J]. 中华现代护理杂志, 2018, 24(19):2303-2306.
    陈宇辉, 秦李娜, 赵玉荣. 延迟结扎脐带或挤压脐带对早产儿血流动力学的影响[J]. 中国新生儿科杂志, 2016, 31(2):148-151.
    哈依霞, 古丽娜·沙哈. rh-EPO对早产儿贫血及脑损伤的防治效果观察[J]. 现代中西医结合杂志, 2018, 27(23):2553-2555

    , 2610.
    张燕艳, 罗公印, 徐元锂, 等. 脐带挤压对早产儿出生后相关指标影响的Meta分析[J]. 中华护理杂志, 2019, 54(11):1634-1640.
    谢雨婕. 脐带处理方式对早产儿贫血的影响[J]. 国际儿科学杂志, 2019, 46(5):315-318.
    顾珩, 刘春静, 纪丽丽, 等. 比较胎儿娩出后结扎脐带时机对铁储备的影响[J]. 临床和实验医学杂志, 2016, 15(8):810-812.
    Wyckoff M H, Aziz K, Escobedo M B, et al. Part 13:neonatal resuscitation:2015 American heart association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care(reprint)[J]. Pediatrics, 2015, 136(Suppl 2):S196-S218.
    王振辉. 延迟断脐对早产儿预后的影响[J]. 医学临床研究, 2016, 33(12):2389-2391.
    陶洁静, 叶郁, 邵亦琦. 延迟脐带结扎对早产儿贫血及相关指标的影响[J]. 中国妇幼保健, 2019, 34(3):575-577.
    万丽, 顾水琴, 徐建平. 脐带挤压断脐对剖宫产早产儿体温和血糖的影响研究[J]. 护理与康复, 2019, 18(10):47-49.
    张莉, 黄绮薇, 龚小慧, 等. 脐带挤压对早产儿血红蛋白量、胆红素及心功能的早期影响[J]. 上海交通大学学报:医学版, 2018, 38(10):1197-1202.
    苏成杰, 潘春燕, 李洁琼. 新生儿贫血危险因素的单因素与多元Logistic回归模型分析[J]. 实用临床医药杂志, 2017, 21(9):218-219.
    樊雪梅, 周春秀, 张爱霞, 等. 挤压脐带断脐对胎龄小于32周早产儿贫血和黄疸的影响研究[J]. 中华护理杂志, 2018, 53(2):149-153.
  • Cited by

    Periodical cited type(1)

    1. 王静,唐泊文,宋囡,李政. 健脾益气法治疗结直肠癌研究进展. 陕西中医. 2025(03): 420-423 .

    Other cited types(0)

Catalog

    Article views (319) PDF downloads (18) Cited by(1)

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return