对比不同脐部护理方法在预防新生儿脐炎方面的效果研究(1)
[摘要] 目的 研究不同的脐部护理方法对预防新生儿脐炎的应用效果。 方法 随机抽取该院2013年4月—2014年4月收治的80例新生儿作为研究对象，随机分为对照组和观察组，每组各40例。对照组采用常规护理，观察组则加入二次断脐护理措施，比较两组患者的护理效果(脐带平均脱落时间、脐部平均愈合时间、脐部出血情况、脐炎发生率)和家属的满意度。 结果 观察组的脐带平均脱落时间(3.43±1.15)d明显短于对照组(6.04±1.34)d，两组差异具有统计学意义，P<0.05；观察组的脐部平均愈合时间(6.34±1.06)d明显短于对照组(9.65±1.76)d，两组差异具有统计学意义，P<0.05；观察组脐部出血情况出现4例，明显少于对照组的11例，两组差异具有统计学意义，P<0.05；观察组新生儿脐炎发生率为2.50%，明显低于对照组的17.50%，两组差异具有统计学意义，P<0.05；观察组的护理满意度为95.00%，明显高于对照组的80.00%，两组差异具有统计学意义，P<0.05。结论 在新生儿常规护理基础上采用二次断脐护理措施，有利于预防新生儿脐炎，提高护理效果，提升护理满意度。
[关键词] 脐部护理；新生儿脐炎；预防；效果
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2015)08(b)-0138-03
[Abstract] Objective To study the application effect of different umbilical nursing methods for the prevention of neonatal omphalitis. Methods 80 neonates admitted in our hospital from April 2013 to April 2014 were selected as the subjects and randomly divided into the control group and the observation group with 40 cases in each. Both groups were given the conventional nursing， the observation group was additionally given second-severing of umbilical cord nursing intervention. And the nursing efficacy(the mean umbilical cord abscisic time， mean umbilical healing time， status of umbilical hemorrhage and incidence of omphalitis) and patients’ family satisfaction were compared between the two groups. Results Compared with the control group， the observation group had much shorter mean umbilical cord abscisic time[(3.43±1.15)d vs (6.04±1.34)d]， P<0.05， much shorter mean umbilical healing time[(6.34±1.06)d vs (9.65±1.76)d]， P<0.05， obviously less patients with umbilical hemorrhage(4 cases vs 11 cases)， P<0.05， significantly lower incidence of neonatal omphalitis (2.50% vs 17.50%)， P<0.05， much higher level of nursing satisfaction(95.00% vs 80.00%)， P<0.05. Conclusion Second-severing of umbilical cord nursing intervention combined with the neonatal conventional nursing is conducive to preventing the neonatal omphalitis and improving the nursing effect and level of nursing satisfaction.
[Key words] Umbilical nursing； Neonatal omphalitis； Prevention； Effect
新生儿脐炎是围产儿中比较多见的一种脐部炎性症状，是由于出生后脐带处理不当或脐部在医院内受到感染所致[1]。其中常见的病原菌有大肠杆菌、金黄色葡萄球菌、溶血性链球菌等，由于新生儿免疫功能尚未完善，抵抗力低下，病原菌很容易通过新生儿的脐部进入身体。新生儿脐炎临床症状表现为脐部出现带有臭味的粘液和脓性分泌物，常伴随着脐窝周围皮肤红肿，症状较轻的新生儿并不会影响到食欲和体温，而严重者则会有发热症状，食欲低下，吃奶少[2]。新生儿脐炎患者若没有得到及时有效的治疗，则有引发新生儿败血症的风险，甚至危及生命。为了研究不同的脐部护理对于预防新生儿脐炎的效果，该院给予80例新生儿常规护理以及二次断脐护理，对两者进行了比较，现报道如下。
1 资料与方法
1.1 一般资料
随机抽取2013年4月—2014年4月该院收治的80例新生儿作为此次研究对象，随机分为对照组和观察组，每组40例。两组新生儿均无宫内感染。其中对照组中男18例，女22例；经剖宫产分娩29例，顺产11例；足月儿30例，早产儿10例。观察组中男19例，女21例；经剖宫产分娩30例，顺产10例；足月儿29例，早产儿11例。, 百拇医药(林美英)
[关键词] 脐部护理；新生儿脐炎；预防；效果
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2015)08(b)-0138-03
[Abstract] Objective To study the application effect of different umbilical nursing methods for the prevention of neonatal omphalitis. Methods 80 neonates admitted in our hospital from April 2013 to April 2014 were selected as the subjects and randomly divided into the control group and the observation group with 40 cases in each. Both groups were given the conventional nursing， the observation group was additionally given second-severing of umbilical cord nursing intervention. And the nursing efficacy(the mean umbilical cord abscisic time， mean umbilical healing time， status of umbilical hemorrhage and incidence of omphalitis) and patients’ family satisfaction were compared between the two groups. Results Compared with the control group， the observation group had much shorter mean umbilical cord abscisic time[(3.43±1.15)d vs (6.04±1.34)d]， P<0.05， much shorter mean umbilical healing time[(6.34±1.06)d vs (9.65±1.76)d]， P<0.05， obviously less patients with umbilical hemorrhage(4 cases vs 11 cases)， P<0.05， significantly lower incidence of neonatal omphalitis (2.50% vs 17.50%)， P<0.05， much higher level of nursing satisfaction(95.00% vs 80.00%)， P<0.05. Conclusion Second-severing of umbilical cord nursing intervention combined with the neonatal conventional nursing is conducive to preventing the neonatal omphalitis and improving the nursing effect and level of nursing satisfaction.
[Key words] Umbilical nursing； Neonatal omphalitis； Prevention； Effect
新生儿脐炎是围产儿中比较多见的一种脐部炎性症状，是由于出生后脐带处理不当或脐部在医院内受到感染所致[1]。其中常见的病原菌有大肠杆菌、金黄色葡萄球菌、溶血性链球菌等，由于新生儿免疫功能尚未完善，抵抗力低下，病原菌很容易通过新生儿的脐部进入身体。新生儿脐炎临床症状表现为脐部出现带有臭味的粘液和脓性分泌物，常伴随着脐窝周围皮肤红肿，症状较轻的新生儿并不会影响到食欲和体温，而严重者则会有发热症状，食欲低下，吃奶少[2]。新生儿脐炎患者若没有得到及时有效的治疗，则有引发新生儿败血症的风险，甚至危及生命。为了研究不同的脐部护理对于预防新生儿脐炎的效果，该院给予80例新生儿常规护理以及二次断脐护理，对两者进行了比较，现报道如下。
1 资料与方法
1.1 一般资料
随机抽取2013年4月—2014年4月该院收治的80例新生儿作为此次研究对象，随机分为对照组和观察组，每组40例。两组新生儿均无宫内感染。其中对照组中男18例，女22例；经剖宫产分娩29例，顺产11例；足月儿30例，早产儿10例。观察组中男19例，女21例；经剖宫产分娩30例，顺产10例；足月儿29例，早产儿11例。, 百拇医药(林美英)