涂抹葵花籽油对住院早产儿医院感染发生率的影响

The influence of sunflower oil daub on the incidence of nosoeomial infection in hospitalized premature

目的探讨涂抹葵花籽油在救治早产儿过程中有无影响。方法将2011年12月至2014年4月我院新生儿急救中心收治的体重低于2kg的早产儿194例随机分为实验组和对照组，在其它基础护理相同的前提下，实验组在早产儿生后72小时内给予涂抹葵花籽油，对照组则不涂任何护肤品，并对两组早产儿在败血症、皮肤感染、死亡率等的发生率进行比较。结果实验组发生感染12例，无低体温、医源性皮肤损伤，对照组发生感染37例，发生低体温7例，医源性皮肤损伤15例，两组在感染、低体温、医源性皮肤损伤等方面的差异具有统计学意义（P〈0．01）。结论外涂葵花籽油可以提高早产儿皮肤的屏障功能，减少外源性细菌通过皮肤侵入体内，降低早产儿感染、低体温，医源性皮肤损伤的发生率，涂油组早产儿在硬肿症发生率也有所降低，体重增长较快，住院时间大大缩短。

Objective To discuss whether sunflower oil daub will have effect in treating premature or not. Methods 194 cases of premature whose weight were less than 2 kg in our newborns emergency center from December 2011 to April 2014 were randomly divided into experimental group and control group. In the premise of same primary care, experimental group received sunflower oil daub within 72 hours after birth, while control group did not receive any skin care products. Compared the incidence of sepsis, skin infections and mortality of two groups. Results There were 12 cases of infection in experimental group, without hypothermia, iatrogenic skin damage; there were 37 cases of infection, 7 cases of hypothermia, 15 cases of iatrogenic skin damage in control group; with statistically significant differences between two groups （P 〈 0.01）. Conclusions Sunflower oil daub could improve premature＇s skin barrier function, reduce exogenous bacteria invaded through the skin, reduce incidence of infection, hypothermia and iatrogenic skin damage. In experimental group, the incidence of scleredema descended, weight rapidly gain, hospitalization time was shortened.