新生儿二次剪脐术后预防脐出血与感染.pdfVIP

中国妇幼保健2008年第23卷 新生儿二次剪脐术后预防脐出血与感染 曹辉娟 罗远莎 曾小华 广东省东莞东华医院产科 523110 中国圈书分类号 11722．13 文献标识码 B 文章编号 1001-4411《2008)06-0788-02 【摘 要】 目的：探讨气门芯结扎脐带二次剪脐术的最佳时间和方法，减少新生JLz．次剪脐术后出血和脐部感染，缩短脐 部愈合时间。方法：经筛选出的新生儿240例行气门芯结扎脐带后，随机分成4组：明胶海绵组 (A组)、云南白药组 (B组)、 残端未包扎组 (c组)三组剪脐时间均为出生24 h，脐带干枯组 (D组)二次剪脐时间在出生48～72 h。结果：①新生儿剪脐 24 h和7天后脐部出血情况分别为：c组出血例数明显增加，A、B、D组与c组比较， =32．64、P0．001， =65．17、P o．001。②剪脐7天后脐部分泌物情况：B组脐部分泌物增加，脐部潮湿。A、c、D组与B组比较， ：32．99，P0．001。③剪 脐后脐部愈合时间比较：D组愈合时间最短，与其它3组组间比较，P0．001。结论：根据脐带的干燥程度决定剪脐时间。再 配合应用明胶海绵压迫包扎，将大大减少脐带出血、感染的发生率，缩短脐部愈合时间。 【关键词】 新生儿 脐带残端 二次剪脐 出血 感染 A Study of umbilical cord recutting in preventing umbilical bleeding or infection in neonates CAO Hui—Juan，LUO Yuan—Sha，ZENG Xiao—Hua．Obstetric Department，Tungwah Hospital，Dongguan 523110， Guangdong，China [Abstract~ Objective：To investigate the best time and way of umbilical cord recutting of neonates by robbery ring ligation in pre- venting umb ilical bleeding or infection and reducing the healing time of umbilical endings．Methods：240 neonates were randomly assigned to four groups after umb ilical cord cutting of neonates by rubbery rings ligation．Umb ilical endings neonates in group A and B were wrapped by gel sponge and yunnan baiyao，while were exposed in air after umb ilical cutting in group C． Umbilical cutting were finished in 24 hours in neonates in all above groups．Umb ilical cutting time in neonates of groups D depended on the moisture of umb ilical endings in 48 to 72 hours after birth．Results．(i)Umbilical endings bleeding in unwrapped group(group C)was higher than wrapped group(^¨B，D)at the．time 0f24 hours and 7 days after umbilicalcutting， =32．64，P0．001； =65．17，P0．001；② Secretions of umbilical endings in group B Was increased than in group A，C and D， =32．99，P0．001．③Healing time of umbilical endings in group D Was the shorter- than in 4 groups，P0．001．Conclusion：Umb ilical cutting ti