四种新生儿脐带结扎方法的效果观察

Observation of the Effects of Four Neonatal Umbilical Cord Ligation Methods

目的:分析四种新生儿脐带结扎方法的效果。方法:将400例正常足月新生儿随机分为4组,每组各100例,分别采用粗棉线结扎法、气门芯结扎法、脐带夹结扎法及气门芯联合脐带夹双重结扎法处理脐带;观察4组新生儿分娩后脐部出血情况、脐带干燥情况、脐部感染情况及新生儿脐带脱落时间。结果:4组新生儿分娩后脐部出血情况、脐带干燥情况、脐部感染情况及新生儿脐带脱落时间比较,差异均有统计学意义(P<0.05或P<0.01)。结论:气门芯和脐带夹双重结扎法有利于脐带干燥、脱落,操作简单、易掌握。

Objective:To analyze the effects of four neonatal umbilical cord ligation methods.Method:400 normal full-term newborns were randomly divided into 4 groups,each of which consisted of 100 cases.Bonnet cotton,valve core,umbilical cord clamp and the combination of valve core and umbilical cord clamp were employed for these four groups respectively.Then the umbilical bleeding,umbilical cord dryness,umbilical infection and neonatal umbilical cord separation time were observed.Results:After comparison of umbilical bleeding,umbilical cord dryness,umbilical infection and neonatal umbilical cord separation time among the four groups,the differences were statistically significant(P<0.05 or P<0.01).Conclusion:The combination of valve core and umbilical cord clamp is worthy of widely application since it conduces to umbilical cord dryness and separation and is easy to operate and learn.