3种不同新生儿脐部处理方法的效果观察

Effect observation on three ways to handle umbilical cords

目的探讨3种不同脐部处理方法对新生儿生理性黄疸及脐部愈合的效果。方法将450例足月新生儿随机分为护脐带组(应用健婴宝-生物护脐带B型)、胎毒清组(应用健婴宝-胎毒清Ⅰ型)和对照组(应用无菌纱布包扎脐部),每组各150例。比较3种方法对新生儿生理性黄疸及脐部愈合的效果。结果与另两组比较,胎毒清组新生儿胎便及黄色便排出时间均较早,黄疸消退较快(均P<0.001);与另两组比较,护脐带组新生儿脐部并发症少,脱落早,愈合快(P<0.001)。结论应用健婴宝-生物护脐带B型处理新生儿脐部,能有效促进新生儿脐部愈合;应用健婴宝-胎毒清Ⅰ型处理新生儿脐部可促进新生儿黄疸消退。

Objective To evaluate the effect of three different ways to handle umbilical cords on neonatal physiological jaundice and umbilical healing. Methods A total of 450 full-term newborns were randomly divided into the umbilical cord healthcare group （Jian Ying Bao- Biological umbilical cord healthcare type B）, Tai Du Qing group （Jian Ying Bao-Tai Du Qing type I ） and the control group （umbilical cord dressed with sterile gauze）, 150 cases in each group. Neonatal physiological jaundice and umbilical healing effect were compared in the three groups. Results Meconium and yellow stool were discharged earlier, jaundice occurred later and faded faster in Tai Du Qing group （P 〈0.001 ）. There were fewer complications, and umbilical cords were shedded earlier and healed faster in the umbilical cord healthcare group （P 〈 0.001）. Conclusions Jian Ying Bao-Biological umbilical cord healthcare type B treatment can effectively promote the healing of neonatal umbilicus. Jian Ying Bao-Tai Du Qiug type I treatment can promote neonatal jaundice extinction.