新生儿断脐时留取脐带残端长度的影响研究.docVIP

新生儿断脐时留取脐带残端长度的影响研究 　　[摘要] 目的 研究新生儿断脐时留取脐带残端长度的影响。 方法 采用随机数字表法随机将入选的510例新生儿分为A、B、C三组，每组各170例，A组新生儿在距离脐轮0.5cm处夹脐带夹，在距离脐带0.5cm处剪断脐带，B组新生儿脐带在距离脐轮1cm处夹脐带夹，在距离脐带1cm处剪断脐带，C组新生儿脐带在距离脐轮2cm处夹脐带夹，在距离脐带夹1cm处剪断脐带。比较三组脐带渗血、脐周分泌物、脐周皮肤红肿、脐带夹松脱及脐带脱落时间。 结果 A组脐带渗血发生率仅6.5%，显著低于B组、C组（P0.05）。A组94.1%未出现脐周分泌物，显著高于B组、C组（P0.05）。A组脐周皮肤红肿发生率仅4.1%，显著低于B组、C组（P0.05）。A组脐带夹松脱率仅2.9%、显著低于B组、C组（P0.05）。A组脐带脱落时间最短（145.56±30.75）h，分别显著低于B组、C组（P0.05）。 结论 合适的脐带残端长度有利于缩短脐带脱落时间，促进脐部早日愈合，从而减轻护理人员护理脐带的工作量，减轻产妇及家属护理新生儿脐带的心理压力。 　　[关键词] 新生儿；断脐；留取脐带；脐带残端长度 　　[中图分类号] R473.72 [文献标识码] B [文章编号] 2095-0616（2015）14-38-03 　　Influence research on the stump length of the umbilical cord of neonatal cord clamping 　　LIU Xianyin 　　China National Offshore Oil Corporation Western South China Sea Hospital， Zhanjiang 524057， China 　　[Abstract] Objective To research the influence of the stump length of the umbilical cord of neonatal cord clamping. Methods 510 neonates were divided to group A， B and C through random number table with 170 neonates in each. In group A， umbilical cord clamp was clamped at the distance of 0.5cm from navel chakra， and umbilical cord was cut at the distance of 0.5cm from umbilical cord. In group B， umbilical cord clamp was clamped at the distance of 1cm from navel chakra， and umbilical cord was cut at the distance of 1cm from umbilical cord. In group C， umbilical cord clamp was clamped at the distance of 2cm from navel chakra， and umbilical cord was cut at the distance of 1cm from umbilical cord clamp. Errhysis of umbilical cord， periumbilical secretions， periumbilical skin inflamed， and time of loose umbilical cord clamp and umbilical cord detachment of three groups were compared. Results Occurrence rate of errhysis of umbilical cord of group A was 6.5%， which was significantly lower than that of group B and C （P 　　[Key words] Neonate； Cutting umbilical cord； Subsistence of umbilical cord； Stump length of the umbilical cord 　　脐部护理是新生儿基础护理中的一项重要工作，正确处理脐带可减少或杜绝新生儿感染性疾病的发生，加快脐带脱落[1]。目前国内外对脐带护理的研