二次剪脐对新生儿脐部护理效果的影响  

Effect of second cutting of neonates′umbilical cord on umbilical region nursing

作　　者：陈慕刁[1] 关惠慈[1] 严丽红[1] 

机构地区：[1]江门市妇幼保健院产科

出　　处：《现代临床护理》2010年第7期41-42,共2页Modern Clinical Nursing

摘　　要：目的探讨二次剪脐在新生儿脐部护理中的应用效果。方法将400例新生儿随机分为对照组和实验组,每组各200例。对照组新生儿采用传统的气门芯摘脐护理方法,等待残端自然脱落;实验组在气门芯摘脐的基础上,于新生儿出生后48h,在结扎下方用手术剪刀剪去残端脐带。比较两组新生儿脐部并发症的发生率。结果实验组新生儿脐部并发症发生率低于对照组（P〈0.01）。结论二次剪脐是提高新生儿脐部护理质量、预防并发症的有效措施。Objective To investigate the application of the second cutting of neonates′ umbilical cord combined with Orem self-care mode in umbilical region nursing. Methods 400 newborns were randomized equally into control group and experimental group： in the former traditional air drain core method,and in the latter the umbilical stump were cut with surgical scissors below the ligation 48 h after delivery and then the parturients were instructed on how to nursing the umbilical points using Orem self-care mode,besides the method in the former group. The local conditions at the process of umbilical cord stump falling off as well as the parturient ability to nursing the umbilical cord stump were observed. Results The incidence rates of wet umbilical fossa,redness,omphalitis in the experimental group were significantly lower than those of the control group（P 0.01） . The parturient ability of self-care was significantly higher than that of the control group（P 0.01） . Conclusions The second cutting of umbilical cord stump using the correct techniques and umbilical care after umbilical cord is cut are effective measures for the improvement of the quality of neonatal umbilical cord care and for the prevention of complications.

关 键 词：二次剪脐 新生儿 护理 

分 类 号：R473.72[医药卫生—护理学]