不同护理措施对新生儿脐部愈合的影响比较  

Influences for the healing of neonatal umbilicus by different nursing procedures

作　　者：刘延红[1] 

机构地区：[1]山东大学第二医院,山东济南250013

出　　处：《护士进修杂志》2006年第10期885-886,共2页Journal of Nurses Training

摘　　要：目的探讨促进新生儿脐部愈合的护理措施。方法选择产科新生儿416例,随机分为A、B、C、D四组各104例,A组采用传统断脐;B组采用微波断脐;C组传统断脐+剪除脐带;D组微波断脐+剪除脐带;四组均予日常护理及出院指导。观察四组新生儿脐带脱落时间、脐炎发生率、并发症等情况。结果C、D两组脐带脱落时间短、脐炎发生率低、家属反应好、并发症的发生率低(P<0.01)。结论微波断脐、剪除残留脐带的护理措施,可以促进新生儿脐部早期愈合,减少脐炎发生。Objective To study the occurrence of omphalitis and complications, and to measure umbilical cord separation time under four different umbilical cord care regimes. Method Four hundred and sixteen neonates were randomly divided into 4 groups, each group using different type of newborn umbilical cord care： topical application, microwave,topical application plus cutting cord. The same daily care and discharged guide were given to the 4 groups. Out come was measured in terms of the presence or absence of omphalitis, the complications and the number of days elapsed before cord separation. Result There was a lower occurrence of omphalitis and complications in the topical application plus cutting cord group and microwave plus cutting cord group （P〈0.01）. The cord separation tone was shorter in the two groups too （P〈0.01）. Conclusion The cultural practice of applying microwave or cutting cord appears to have lower incidence of omphalitis and shorter cord separation time. It may be a good supplementary method for umbilical cord care.

关 键 词：新生儿 脐带 护理 

分 类 号：R472[医药卫生—护理学] R722[医药卫生—临床医学]