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延迟结扎脐带对婴儿免疫功能的影响

Influence of delayed ligation of umbilical cord for immune function of infants

  • 摘要: 目的 探讨延迟结扎脐带对婴儿免疫功能的影响。方法 选择深圳市妇幼保健院2015年10月-2016年3月正常分娩的婴儿1000例为研究对象,以随机数字表法分为观察组与对照组,每组500例,对照组为常规结扎脐带(<10 s),观察组延迟结扎脐带(45~60 s),对两组出生时与出生6个月的体液免疫功能、细胞免疫功能变化进行对比。结果 观察组出生时的免疫球蛋白M (IgM)、免疫球蛋白G (IgG)、免疫球蛋白A (IgA)等体液免疫功能与对照组相比,差异无统计学意义(P>0.05);出生6个月时,两组IgM、IgA含量无明显差异(P>0.05),观察组IgG含量较对照组高,差异有统计学意义(P<0.05)。出生时,两组婴儿的CD4+、CD8+、CD4+/CD8+差异无统计学意义(P>0.05);出生6个月时,观察组的CD4+、CD8+、CD4+/CD8+与对照组相比差异有统计学意义(P<0.05)。结论 延迟结扎脐带可提高婴儿的体液与细胞免疫功能,具有一定临床价值。

     

    Abstract: Objective To explore the influence of delayed ligation of umbilical cord for immune function of infants.Methods From October 2015 to March 2016,1000 neonates who delivery normally in maternal and child health care hospital of Shenzhen were selected as research objects,and they were divided into observation group and control group by the random number table.500 cases in control group were underwent the conventional ligation of umbilical cord (< 10s),while 500 cases in observation group were given the delayed ligation of umbilical cord (45-60 s).The changes of humoral immune function and cellular immune function between the two groups were compared in the birth and 6 months.Result The difference between the two groups on birth in immune function of immunoglobulin M (IgM),immunoglobulin G (IgG),immunoglobulin A (IgA) and other humoral immunity were no statistically significant (P>0.05).At 6 months of birth,there was no difference in IgM and IgA between the two groups (P>0.05).The content of IgG in the observation group was higher than that in the control group,the difference was statistically significant (P<0.05).At birth,there was no significant difference in CD4+,CD8+and CD4+/CD8+between the two groups (P>0.05).At 6 months of birth,the differences of CD4+,CD8+,CD4+/CD8+between the two groups were statistically significant (P<0.05).Conclusion The delayed umbilical cord ligation can improve the humoral and cellular immune function in infants,thus it has certain clinical value.

     

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