CAJ | 학술논문

目的：探讨新生儿脐带第二次剪切的最佳时机选择与操作技巧。方法将992例正常新生儿随机分为四组各248例。各组二次断脐时间分别为生后24h(A组),36~48h(B组),72h(C组),三组断脐与一组不行二次剪切的比较,日常护理和出院指导相同,比较新生儿不同时机二次断脐的处理对脐部修复时期的并发症及其影响。结果 B、C组渗血发生例显著低于A组(均P<0.01),A、B组疑似炎性渗出物,脐部修复比较类似(P<0.05)。结论为减少二次剪切后脐部渗血的发生,我们不能教条式地把剪切时间一概定在出生后的某个时间,应根据脐带粗细不同及脐带周围皮肤情况选择不同的时间对新生儿脐带进行二次剪切。
목적：탐토신생인제대제이차전절적최가시궤선택여조작기교。방법장992례정상신생인수궤분위사조각248례。각조이차단제시간분별위생후24h(A조),36~48h(B조),72h(C조),삼조단제여일조불행이차전절적비교,일상호리화출원지도상동,비교신생인불동시궤이차단제적처리대제부수복시기적병발증급기영향。결과 B、C조삼혈발생례현저저우A조(균P<0.01),A、B조의사염성삼출물,제부수복비교유사(P<0.05)。결론위감소이차전절후제부삼혈적발생,아문불능교조식지파전절시간일개정재출생후적모개시간,응근거제대조세불동급제대주위피부정황선택불동적시간대신생인제대진행이차전절。
Objective To investigate the optimal timing and operation skil s of neonatal umbilical cord second cut. Methods 992 cases of normal newborns were randomly divided into four groups with 248 cases in each.Groups of two umbilical cord cut ing time was 24 hours after birth (group A),36~48 hours (group B),72 hours (C group),compared three groups of cut and a group of no two cut,daily care and discharge guidance,complication and ef ect of complex treatment of neonatal period is not the samemachine the two cut repair for umbilical.Results B,C group bleeding cases was lower than that in A group ( <0.01),A,B group of suspected inflammatory exudate,umbilical repair is similar ( <0.05).Conclusion To reduce two times after cut ing umbilical bleeding occurs,we can not be dogmatic to shear time be fixed at a certain time after birth,should choose a dif erent time for a two cut on neonatal umbilical cord and umbilical cord thickness according to dif erent conditions of sur ounding skin.