俯卧位联合湿润烧伤膏在新生儿重度臀红护理中的应用

Effect of prone position combined with external application of MEBO on severe diaper dermatitis in neonates

目的观察湿润烧伤膏联合俯卧位治疗护理新生儿重度臀红的效果。方法将2017年1月—2018年7月收治的重度臀红新生儿86例按入院时间分为对照组和观察组,各43例。2组臀红患儿均入暖箱,每次大小便后清洁臀部皮肤,待干后,对照组患儿臀部皮肤涂湿润烧伤膏,用纸尿裤包裹,观察组患儿取俯卧位,并涂湿润烧伤膏,暴露臀部。观察2组臀红皮肤恢复情况,比较2组干预5 d和10 d时患儿哭闹情况。结果观察组臀红治疗有效率86.05%(37/43),高于对照组的62.79%(27/43),差异有统计学意义(P <0.05)。干预10 d内,观察组患儿哭闹发生率6.98%(3/43),低于对照组的25.58%(12/43),差异有统计学意义(P <0.05)。结论湿润烧伤膏外敷联合俯卧位护理干预治疗新生儿重度臀红具有积极的疗效。

Objective To investigate the effect of prone position combined with external application of MEBO( moisture exposed burn ointment) on severe diaper dermatitis in neonates.Methods Totally 86 neonates with severe diaper dermatitis were randomly divided into the control group and the treatment group,with 43 cases in each group.Neonates were placed in the infant incubator.The buttock skin of the neonate was cleaning and dried after urine and defecation.In the control group,the buttock skin was covered by paper diaper after external application of MEBO ointment.In the treatment group,neonates took the prone position and their buttock skin was exposed after external application of M EBO ointment.The efficacy of interventions on the recovery of diaper dermatitis was evaluated,and the incidence of abnormal crying was compared between two groups.Results The overall efficacy rate was 86.05%(37/43) in the treatment group and 62.79%(27/43) in the control group,with a significant difference(P < 0.05).The incidence of abnormal crying was lower in the treatment group than that in the control group(6.98% vs.25.58%,P < 0.05).Conclusion The external application of MEBO combined with prone position is effective in treatment of severe diaper dermatitis in neonates.