吹氧疗法促进新生儿脐部愈合的效果观察  

Observation on the Effect of Blowing Oxygen Therapy on the Healing of Neonatal Umbilical Cord

作　　者：李艳梅 LI Yanmei(Department of Pediatrics,Xiamen Maternity and Child Health Hospital,Xiamen Fujian 361003,China)

机构地区：[1]厦门市妇幼保健院儿科,福建厦门361003

出　　处：《中国卫生标准管理》2021年第18期158-161,共4页China Health Standard Management

摘　　要：目的探究与分析吹氧疗法促进新生儿脐部愈合的效果。方法选取医院2017年5月—2020年5月收治的80例足月活产新生儿,按照入院先后顺序分为对照组与观察组,每组各40例,对照组在行脐部消毒处理后开放暴露,不包裹任何辅料。观察组给予高流量吹氧疗法,对比两组新生儿脐周皮肤、脐带残端渗血、脐带残端溶解持续实践、脐窝皮肤覆盖愈合时间、不同时间下经皮胆红素水平、产妇及家属满意度。结果观察组与对照组相比脐周皮肤完好患者比例、脐带残端无渗血患者比例、脐带残端溶解持续时间≤10 d患者比例、脐窝皮肤覆盖时间≤10 d患者比例较高,组间差异具有统计学意义(P<0.05)。两组第2 d、第3 d及第30 d的经皮胆红素水平明显高于第1 d的经皮胆红素水平。第3 d的经皮胆红素水平明显高于第2 d的经皮胆红素水平。第30 d的经皮胆红素水平较低,仍高于第1 d的经皮胆红素水平。但两组第1 d、第2 d、第3 d及第30 d的经皮胆红素水平相比差异无统计学意义(P>0.05)。观察组与对照组相比产妇及家属的满意度较高,组间差异具有统计学意义(P<0.05)。结论吹氧疗法能够有效的促进新生儿脐周愈合,产妇及家属的满意度表现更好。Objective To explore and analyze the effect of blowing oxygen therapy to promote the healing of neonatal umbilical cord.Methods Select 80 full-term live birth newborns admitted in the hospital from May 2017 to May 2020,and divide them into a control group and an observation group according to the order of admission,with 40 cases in each group.The control group is in the umbilical cord After disinfection,it will be open and exposed without any auxiliary materials.The observation group was given high-flow oxygen blowing therapy,and the two groups of newborns were compared with the umbilical skin,umbilical cord stump blood oozing,continuous practice of umbilical cord stump dissolution,umbilical fossa skin covering healing time,and satisfaction of mothers and family members.Results Compared with the control group,the proportion of patients with intact skin around the umbilical cord,the proportion of patients with no bleeding on the umbilical cord stump,the proportion of patients with umbilical cord stump dissolution duration≤10 d,and the proportion of patients with umbilical fossa skin covering time≤10 d were higher than those of the control group.The difference was statistically significant(P<0.05).The levels of transcutaneous bilirubin on day 2,day 3 and day 30 in the two groups were significantly higher than those on day 1.The level of transcutaneous bilirubin on the 3rd day was significantly higher than that on the 2nd day.The level of transcutaneous bilirubin was lower on the 30th day and still higher than that on the 1st day.However,there was no significant difference in the level of percutaneous bilirubin between the two groups on day 1,day 2,day 3 and day 30(P>0.05).Compared with the control group,the observation group had higher satisfaction with the parturients and family members,and the difference between the groups was statistically significant(P<0.05).Conclusion Blowing oxygen therapy can effectively promote the healing of newborns around the umbilical cord,and the satisfaction of the parturient and

关 键 词：吹氧治疗 新生儿 脐部愈合 脐周皮肤 脐带残端渗血 满意度 

分 类 号：R720[医药卫生—儿科]