脐血母体静脉回输对产褥期保健作用的研究

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目的:探讨脐血母体静脉回输对母体产后康复的影响及其临床应用前景。方法:分娩中采集产妇脐血,将产后24 h 内为该产妇进行脐血静脉回输的97 例(观察组)与未采脐血的97例(对照组)进行血常规、免疫球蛋白、甲状腺激素和泌乳素水平等各项指标的监测比较,并对观察组产前及脐血回输后上述各项指标也进行监测比较,还对两组的产褥病率及产后泌乳时间进行比较。结果:观察组RBC、HGB、WBC、PLT、IgM、PRL、T3 各值明显高于对照组,经统计学处理有极其显著的差异(P< 0.01)。泌乳素(PRL)增高尤为显著,乳汁分泌早21.63 h,无产褥病率发生。结论:产后早期对母体进行脐血静脉回输可及时补充产后失血量及凝血因子,减少产后出血,改善贫血;还可提高母体的免疫抵抗力,降低产褥病率;尤其突出的是可使母体血中PRL水平显著升高,刺激产妇早日分泌足量乳汁,为新生儿生长发育提供最佳天然食品,促进母乳喂养成功。同时提出采集脐血的注意事项和禁忌症 Objective: To investigate the effect of cord blood maternal venous return on maternal postpartum rehabilitation and its clinical application prospects. Methods: Maternal umbilical cord blood was collected during delivery, and 97 cases (observation group) and 97 cases (without control group) receiving umbilical cord venous return within 24 h postpartum were enrolled in this study. Blood routine, immunoglobulin, Thyroid hormone and prolactin levels and other indicators of the monitoring comparison, and the observation group before and after umbilical cord blood transfusion of the above indicators are also monitored comparison, but also the two groups of puerperal morbidity and postpartum lactation time compared . Results: The values ​​of RBC, HGB, WBC, PLT, IgM, PRL and T3 in the observation group were significantly higher than those in the control group (P <0.01). Prolonged prolactin (PRL) increased significantly, milk secretion as early as 21.63 h, no puerperal morbidity. CONCLUSIONS: Umbilical cord venous return to the maternal early postnatal period can be timely postpartum hemorrhage and blood clotting factors to reduce postpartum hemorrhage and improve anemia; can also improve the mother’s immune resistance and reduce the rate of puerperal; especially prominent is that Maternal blood PRL levels were significantly increased to stimulate the early secretion of adequate milk to maternal, newborn growth and development to provide the best natural food, promote breastfeeding success. At the same time to collect the precautions and contraindications umbilical cord blood collection
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