剖宫产新生儿脐带残端零干预护理的临床效果研究

Clinical Research OF Nursing without Intervention on the umbilical cord cesarean section of newbornbabies

目的探讨剖宫产新生儿脐带残端零干预护理的临床效果及可行性。方法随机筛选无脐疝的剖宫产正常新生儿600例，采用气门芯距脐轮lmm处结扎，远端1 cm处剪断脐带，脐带断面用5％的碘酊消毒。随机分为两组，每组300例，两组新生儿于次日淋浴后，用75％酒精消毒脐带残端，以后每日淋浴1次。观察组淋浴后脐带残端不再进行任何干预护理，对照组淋浴后常规用75％酒精消毒脐部及周同皮肤，并覆盖无菌脐贴。待其自然干燥、坏死、脱落。观察比较两组新生儿脐部渗血、炎症情况、残端脱落时间、创面干燥愈合时间。结果两组新生儿均无脐炎发生；观察组脐部渗血率低于对照组，差异有显著性（P〈O．05）；观察组脐带残端脱落时间、创面愈合时间比对照组缩短，差异有显著性（P〈0．05）。结论剖宫产新生儿脐带残端零干预护理缩短脐带残端自然脱落、创面愈合时间，不增加感染风险，安全性高，护理量少，是一种较好的脐带残端护理方法。

Objective To evaluate the clinical effect and feasibility of umbilical cord stump treatment in neonatal by cesarean section. Methods 600 normal neonates born by cesarean section without umbilical hernia were randomly divided into two groups. The first-time cutting for all the groups was made at the valve core with the near end 1 mm and far end 1 cm from the navel chakra. Two groups of newborns after the shower were disinfected the umbilical cord the end with 75% alcohol, and the shower once a day. The observation group after shower does no longer nursing intervention. The control group disinfecting umbilical plexus and surrounding skin after the shower routine with 75% alcohol coverinz the sterileumbilical stick. Then we observed the umbilical blood oozing, secretion and the time of the wound surface dried and healed. Results There are no umbilical inflammation in two groups; The number of umbilical plexus ooze blood in the observa- tion group is less than those in control group. The difference was statistically significant （P〈 O.05）;The residual time and the healing time of the umbilical cord in the observation group were shorter than in control group. The difference were statistically significant （P〈 0.05）. Conclusion Nursing without Intervention, with lower possibility of umbilical blood oozing, less umbilical secretion, shorter time for the healing of wound surface, few nursing quantity is a good nursing methods of mnbilical cord residual end.