新生儿脐带二次修剪包扎效果观察

Observation of Effect of Secondary Trimming of Newborn Umbilical Cords

目的 观察新生儿脐带二次修剪包扎的效果。方法 将560例新生儿随机分为观察组和对照组各280例,观察组在日常护理的同时,于新生儿出生后48～72 h常规消毒下将脐带自根部修剪残端,并对留下的创面用脐包包扎。对照组日常常规护理。结果 观察组脐部渗血、脐部潮红、脐部黏液分泌物渗出、脐带脱落时间、脐部愈合等较对照组具有显著性差异(P<0.01)。结论 新生儿脐带二次修剪包扎可使脐带提前脱落,促使创面愈合。有利于提高脐部护理质量,降低新生儿感染发生率。

Objective To observe the effect of secondary trimming of newborn umbilical cords. Methods 560 newborns were equally randomized into two groups. For treatment group, we trimmed and bandaged the cord stumps with routine disinfection 48～72 hours after birth. The control group were only given routine nursing. Results Outcomes in the treatment group were significant different from those in the control group in the respects of umbilical cord oozing, flushing, exfoliating, secretion exudating and healing(P<0.01). Conclusion The secondary trimming and bandaging facilitates earlier exfoliation better healing of newborn umbilical cords, and is beneficial to cord nursing, thus reducing incidence of neonatal infection.