新生儿脐带二次结扎加暴露法的临床应用观察

Clinical observation of application of neonatal umbilical cord secondary ligation combined with exposure method

目的探讨新生儿脐带二次结扎加暴露对新生儿脐带的影响及效果。方法将广元市第二人民医院730例新生儿随机分为观察组和对照组,对照组采取传统的气门芯结扎法,观察组在新生儿出生后24~36 h行脐带二次结扎加暴露,观察新生儿脐带脱落时间、脐部感染发生率等指标。结果观察组新生儿脐带脱落时间短于对照组,脐部感染发生率少于对照组（P〈0.05）。结论新生儿脐带二次结扎加暴露法,能有效缩短脐带脱落时间,减少脐部感染的发生。

Objective To explore the influence and effect of neonatal umbilical cord secondary ligation combined with exposure method. Methods 730 cases of neonate in The Second People＇s Hospital of Guangyuan City were randomly divided into control group and observation group,cases in control group adopted the traditional valve core ligation method,cases in observation group adopted umbilical cord secondary ligation combined with exposure method 24 to 36 hours after birth. The time of umbilical cord separation and navel infection rate were compared. Results The time of umbilical cord separation of observation group was shorter than control group,navel infection rate of observation group was less than control group（ P〈0. 05）. Conclusion Neonatal umbilical cord secondary ligation combined with exposure method can effectively shorten the time of umbilical cord separation and reduce the occurrence of the navel infection.