新生儿脐带再次结扎法在新生儿脐部护理中的效果

The Effect of the Ligation Again for Neonatal Umbilical in Neonatal Umbilical Care

目的：分析新生儿脐带再次结扎法在新生儿脐部护理中的效果。方法：选取了两年内在笔者所在医院出生的新生儿,累计共536例,采用随机数字表法分为两组,每组268例。对照组在娩出后给予传统方式结扎脐带,即气门芯式,然后对脐部进行常规护理。观察组则在上述结扎基础上,待新生儿娩出24～38 h后,在原来结扎处再次进行结扎剪去脐带残端。结果：观察组脐残端出血率比对照组低（P〈0.05）,观察组脐带干燥时间小于48 h和脱落时间小于7 d例数多于对照组,脐部感染以及血肿的发生率均比对照组少（P〈0.01）,两组肉芽肿的发生水平相当（P＞0.05）。结论：对于新生儿脐带的处理,在气门芯结扎法基础上进行再次结扎可以促使脐带干燥、脱落,而且脐部并发症也有很大程度的改善,说明该方法切实可行。

Objective：To analyze the effect of the ligation again for neonatal umbilical in the neonatal umbilical care.Method：536 cases of newborn were selected in two years in our hospital.They were randomly divided two groups,and each group was 268 cases.Children in the control group were given the umbilical cord after delivery of the traditional handling of ligation.On the basis of the control group,the observation group was cut off the umbilical cord and given the ligation again after newborn borned 24-38 h.Result：The umbilical cord stump bleeding again in the observation group was lower than that in the control group（P〈0.05）, the rate of umbilical cord drying time in 48 h and off time in 7 d in the observation group were more than those in the control group,the umbilical infection and the incidence of hematoma in the observation group were significantly litter than that in the control group（P〈0.01）.Granulomas occurring levels of the two groups equivalent calculated（P〉0.05）.Conclusion：For newborn umbilical cord on the basis of the valve core ligation gives the ligation again,not only can promote its umbilical cord ligation again dried off,but also can significantly improve the umbilical complications,the method is feasible.