愈脐胎毒清结合新生儿脐带改良结扎法加速脐部愈合的临床效果  

Taiduqing and Neonatal Umbilical Cord Ligation Accelerating Umbilical Healing

作　　者：吴芬英[1] 蒋建峰[1] 叶厚妹 王国华[1] 田徐琴 

机构地区：[1]中国医科大学绍兴医院产科,浙江绍兴312030

出　　处：《中华中医药学刊》2016年第4期909-911,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：浙江省中医药科学研究基金计划(A类)项目(2013ZA126)

摘　　要：目的:旨在探讨愈脐胎毒清、新生儿脐带改良结扎法加速脐部愈合的临床效果。方法:采用随机数字表法将医院产科分娩的1000例足月新生儿分为研究组和对照组各500例,两组新生儿均给予新生儿脐带改良结扎法,研究者给予愈脐胎毒清,对照组给予传统包扎法,观察并比较两组新生儿黄疸消退情况、胎便排除情况、脐带脱落情况的差异。结果:研究组的胎便排出时间(12.9±5.3)h、黄便排出时间(3.1±0.8)d、黄疸消退时间(5.5±1.6)d均显著的低于对照组新生儿且差异均具有统计学意义(P<0.05)。研究组的新生儿出生的5 d的脐带脱落率61.8%显著的高于对照组的38.8%且差异均具有统计学意义(P<0.05)。研究组的新生儿出生的第1天的经皮胆红素值与对照组比较差异不具有统计学意义(P>0.05),研究组新生儿出生后第2、3、5天的经皮胆红素值均显著的低于对照组且差异均具有统计学意义(P<0.05)。研究组的新生儿出生后脐带残端分泌物率、红肿率、渗血率、皮肤破损率低于对照组且差异均具有统计学意义(P<0.05),两组间肉芽肿发生率比较差异不具有统计学意义(P>0.05)。结论:愈脐胎毒清结合新生儿脐带改良结扎法加速脐部愈合、促进黄疸恢复、降低脐部并发症具有显著效果。Objective： The purpose of this study is to investigate the clinical curative effect of Taiduqing and neonatal umbilical cord ligation accelerating umbilical healing.Methods： Using the random number table method in the obstetric department of the hospital,a total of 1000 cases of full-term newborn infants were divided into study group and control group,500 cases in each.The neonates in the two groups were treated with neonatal umbilical cord improved ligating method and Taiduqing nursing.The control group was given traditional nursing bandaging method.Observe and compare two groups＇ neonatal jaundice subsided time,fetal defecation and the shedding of the umbilical cord.Results： The study group＇s fetal feces time was（ 12.9 ± 5.3） h,yellow discharge time（ 3.1 ± 0.8） d and jaundice subsided time（ 5.5 ± 1.6）d,which were significantly lower than those of the control group.The difference had statistical significance（ P〈0.05）.The study group＇s neonates born 5 d shedding of the umbilical cord rate was 61.8%,significantly higher than control group＇s 38.8% and the difference had statistical significance（ P〈0.05）.The study group＇s transcutaneous bilirubin values on 1 d after birth and the control group＇s had no statistical significance（ P〈0.05）.After 2,3,5d,the transcutaneous bilirubin values of the study group were significantly lower than those of the control group and the difference was statistically significant（ P〈0.05）.The study group＇s umbilical cord stump secretion rate,swelling rate,bleeding rate and skin breakage rate were lower than the control group＇s and the difference was statistically significant（ P〈0.05） and granuloma rate between the two groups did not have statistical significance（ P〈0.05）.Conclusion： The combination of Taiduqing and neonatal umbilical cord ligating method can accelerate umbilical healing and promote the recovery of jaundice,which has significant effect on reduction of the umbilical complications.

关 键 词：愈脐胎毒清 新生儿脐带改良结扎法 脐部愈合 临床效果 

分 类 号：R722.134[医药卫生—儿科]