新生儿娩出后脐带处理的最佳证据总结  

Evidence summary of cord care in newborns after delivery

作　　者：孙瑞阳[1,2] 李俊英 朱秀 陆虹[3,4] Sun Ruiyang;Li Junying;Zhu Xiu;Lu Hong(School of Nursing,Beijing University of Chinese Medicine,Beijing 102488,China)

机构地区：[1]北京中医药大学护理学院,北京102488 [2]北京中医药大学JBI循证护理卓越合作中心 [3]北京大学护理学院 [4]北京大学医学部循证护理研究中心

出　　处：《护理学杂志》2023年第13期93-98,共6页Journal of Nursing Science

基　　金：联合国儿童基金/中国妇幼保健协会合作项目(001-EENC scale up)。

摘　　要：目的总结正常足月新生儿出生后脐带处理的最佳证据,为临床实践决策提供参考。方法系统检索新生儿脐带处理相关的临床决策、临床实践指南、专家共识、证据总结和系统评价,分别对其方法学质量进行评价,随后对资料进行提取、分析并汇总成最佳证据。结果共纳入21篇文献,包括1篇临床决策、16篇指南、3篇专家共识和1篇系统评价。总结为脐带结扎、脐带挤压、脐带检查、脐带护理和尊重妇女意愿5个方面24条最佳证据。结论正常足月儿娩出后脐部处理最佳证据可为临床提供决策依据。临床应用时,应结合具体情境,并充分考虑妇女意愿,使母婴获益最大化。Objective To summarize the best evidence for umbilical cord management in normal full-term neonates after birth,and to provide a reference for clinical practice decision-making.Methods Clinical decisions,clinical practice guidelines,expert consensus,evidence summaries and systematic reviews related to neonatal umbilical cord management in the past decade were systematically retrieved,and their methodological quality was evaluated.Then,the data were extracted,analyzed and summarized into the best evidence summary.Results A total of 21 articles were included:1 clinical decision,16 guidelines,3 expert consensus and 1 syste-matic review.A total of 24 pieces of best evidence were summarized,including 5 aspects:cord clamping,cord extrusion,cord examination,cord care and respecting women′s wishes.Conclusion Summary of the best evidence for umbilical management of normal full-term infants after delivery can provide a basis for clinical decision-making.In the future,it should be combined with specific clinical situations,and fully considering women′s wishes to maximize the benefits of mother and child.

关 键 词：新生儿 脐带处理 新生儿脐炎 产科护理 指南 系统评价 证据总结 

分 类 号：R473.72[医药卫生—护理学] R722[医药卫生—临床医学]