CAJ | 학술논문

目的观察氧气吹臀联合高锰酸钾坐浴治疗新生儿重度尿布疹的效果.方法将289例新生儿重度尿布疹患儿随机分为3组,扁管组91例,圆管组102例,对照组96例.3组患儿均于大便后用温水清洗臀部和会阴部,用湿巾擦干后将百多邦均匀涂抹患处.扁管组与圆管组采用1∶5000高锰酸钾溶液坐浴,2次/d,5 min/次,然后进行氧气吹臀.吹氧方法为常规吸氧装置中的氧气湿化瓶不放水,将氧流量调至10 L/min,氧气导管对准患处吹氧,直至创面干燥停止.吹氧者手持氧气导管出氧端对准患处吹氧为圆管组,吹氧者将氧气导管出氧端捏扁后对准患处吹氧为扁管组.3组均于治疗4d后比较治疗效果.结果圆管组治愈时间明显短于对照组,扁管组治愈时间明显短于圆管组,差异均有统计学意义.圆管组临床总有效率明显高于对照组,扁管组临床总有效率明显高于圆管组,差异均有统计学意义.结论氧气吹臀联合高锰酸钾坐浴治疗新生儿重度尿布疹效果显著,且扁管吹氧效果优于圆管吹氧效果.
목적 관찰양기취둔연합고맹산갑좌욕치료신생인중도뇨포진적효과.방법 장289례신생인중도뇨포진환인수궤분위3조,편관조91례,원관조102례,대조조96례.3조환인균우대편후용온수청세둔부화회음부,용습건찰간후장백다방균균도말환처.편관조여원관조채용1∶5000고맹산갑용액좌욕,2차/d,5 min/차,연후진행양기취둔.취양방법위상규흡양장치중적양기습화병불방수,장양류량조지10 L/min,양기도관대준환처취양,직지창면간조정지.취양자수지양기도관출양단대준환처취양위원관조,취양자장양기도관출양단날편후대준환처취양위편관조.3조균우치료4d후비교치료효과.결과 원관조치유시간명현단우대조조,편관조치유시간명현단우원관조,차이균유통계학의의.원관조림상총유효솔명현고우대조조,편관조림상총유효솔명현고우원관조,차이균유통계학의의.결론 양기취둔연합고맹산갑좌욕치료신생인중도뇨포진효과현저,차편관취양효과우우원관취양효과.
Objective This research is to observe the treatment effects of hip bath and oxygen blowing on severe neonatal diaper rash.Methods 289 neonates with severe diaper rash were randomly divided into three groups.91 cases in the flat tube group,102 cases in the round tube group and 96 cases in the control group.Three groups of neonates were cleaned on the hips and perineuma after poops and then dried with wet tissues and Mupirocin Ointment.The control group was treated with the above-mentioned method.The oxygen blowing groups were treated with hip bath of 1:5000 chameleon solution twice a day.Blowing the hips with oxygen five minutes every time after hip bath.The method of blowing oxygen was that oxygen humidifying containers as normal oxygen aspiration facilities was not filled with water,whose oxygen flowing volume standed at 10 L/min and whose tube blew at the afflicted parts until being dry.The oxygen blower held the oxygen exit and blowed at the afflicted parts in the round tube group and the oxygen blower flattened the oxygen exit and blew at the afflicted parts in the fiat tube group.The treatment effects will be compared among the three groups four days later.Results The cure period of the round tube group was obviously shorter than that of the control group,and the cure period of the fiat tube group was remarkably shorter than that of the round tube group.The total effective rate in the round tube group was obviously higher than that of the control group and the total effective rate in the fiat tube group was obviously higher than that in the round tube group.The difference had a statistical significance.Conclusions The treatment effects for the severe neonatal diaper rash with hip bath and oxygen blowing are remarkable and the oxygen blowing effects with fiat tubes are better than those with round tubes.