不同新生儿脐带处理方法的比较与分析

Comparison and analysis on different methods of umbilical cord treatment in neonate

目的探讨与分析不同新生儿脐带处理方法的临床疗效。方法随机选取于我院2011年9月出生的新生儿160例,随机分成A、B两组,每组80例新生儿,A组新生儿在出生后采用一次性脐带夹法进行结扎,即为试验组;B组新生儿采用二次剪切法对脐带进行处理,即为对照组。比较两组新生儿经不同方法处理脐带后脐部出血、出现炎性分泌物、周围皮肤破损的情况及脐带残端脱落时间和脐窝完全干燥时间的情况。结果使用一次性脐带夹法对脐带处理发生脐带出血和炎性分泌物的新生儿数比采用二次剪切法的人数少,且脐带脱落时间和脐窝完全干燥时间短,P【0.05,具有统计学意义。结论采用一次性脐带夹法对新生儿脐带进行处理可减少产生炎症的几率,值得在临床上推广。

Objective To explore and analyze the clinical effects of different methods of umbilical cord treatment in neonate.Methods In September 2011,160 neonates born in our hospital were randomly selected and divided into two groups,which are A and B with 80 cases in each group.The A group was taken as the experimental group in which neonate’s umbilical cords were clamped with disposable clamp after birth;While the B group was taken as the control group in which neonate’s umbilical cords were treated by secondary cutting.Conditions of the neonates after umbilical cord treatment by different methods in two groups were compared on umbilical hemorrhage,occurrence of inflammatory exudates,skin injury around umbilical region,exfoliation time of umbilical cord stump and completely drying time of umbilicus.Results The neonates with umbilical hemorrhage and inflammatory exudates after umbilical cord treatment by disposable clamp method were fewer than those by secondary cutting method.Also,the exfoliation time of umbilical cord stump and completely drying time of umbilicus after umbilical cord treatment by disposable clamp method were shorter than those by secondary cutting method.Differences were statistically significant(P<0.05).Conclusion The disposable umbilical cord clamp method for umbilical cord treatment in neonate may reduce the occurrence rate of inflammation,which is worth spreading in clinical practice.