2种不同护理措施对新生儿缺氧缺血性脑病患儿脐部感染的影响

Effects of Two Different Nursing Interventions on Local Umbilical Infection in Newborns with Hypoxic-Ischemic Encephalopathy

目的探讨2种不同护理措施对新生儿缺氧缺血性脑病(hypoxic-ischemic encephalopathy,HIE)患儿脐部感染的影响。方法将发生脐部感染的80例HIE患儿随机分为干预组和对照组,所有病例均先用3%过氧化氢及生理盐水清洗脐部并擦干,之后干预组以0.1%利凡诺湿敷,对照组则在脐部涂2%碘酊,然后用75%酒精脱碘。结果干预组治愈25例,有效12例,无效5例;对照组治愈16例,有效8例,无效14例,2组相比差异有统计学意义(P<0.05)。结论在3%过氧化氢及生理盐水清洗脐部的基础上,以0.1%利凡诺湿敷护理HIE患儿脐部感染的效果优于碘酊和酒精,值得推广。

Objective To explore the effects of two different nursing interventions on local umbilical infection in newborns with hypoxic-ischemic encephalopathy （HIE）. Methods 80 full-term newborn infants 166 boys, 14 girls, mean age （ 16.04 ± 0.29） days l with HIE suffered from umbilical infection were randomly divided to intervention group （42 patients） and control group （38 patients）. Umbilical part of all cases were washed with 3% hydrogen peroxide and physiologic saline and wiped dry. After that, umbilical part of intervention group was dealt with wet ompress with 0.1% rivanol and control group was dealt with 2% io- dine tincture and 75% alcohol. Results In intervention group,25 cases were cured, 12 cases improved and 5 cases had no response ;In control group,16 cases were cured,8 cases improved and 14 cases failed to respond. The difference between two groups was significant （ P 〈 0.05 ）. Conclusions Based on washing umbilical part of HIE infants suffered from umbilical infection with 3% hydrogen peroxide and physiologic saline,the effect of wet compress with 0.1% rivanol is better than 2% iodine tincture and alcohol, which deserves to be popularized and applied.