中国医药科学
中國醫藥科學
중국의약과학
China Medicine and Pharmacy
2015年
14期
38-40
,共3页
新生儿%断脐%留取脐带%脐带残端长度
新生兒%斷臍%留取臍帶%臍帶殘耑長度
신생인%단제%류취제대%제대잔단장도
Neonate%Cutting umbilical cord%Subsistence of umbilical cord%Stump length of the umbilical cord
目的 研究新生儿断脐时留取脐带残端长度的影响.方法 采用随机数字表法随机将入选的510例新生儿分为A、B、C三组,每组各170例,A组新生儿在距离脐轮0.5cm处夹脐带夹,在距离脐带0.5cm处剪断脐带,B组新生儿脐带在距离脐轮1cm处夹脐带夹,在距离脐带1cm处剪断脐带,C组新生儿脐带在距离脐轮2cm处夹脐带夹,在距离脐带夹1cm处剪断脐带.比较三组脐带渗血、脐周分泌物、脐周皮肤红肿、脐带夹松脱及脐带脱落时间.结果 A组脐带渗血发生率仅6.5%,显著低于B组、C组(P<0.05).A组94.1%未出现脐周分泌物,显著高于B组、C组(P<0.05).A组脐周皮肤红肿发生率仅4.1%,显著低于B组、C组(P<0.05).A组脐带夹松脱率仅2.9%、显著低于B组、C组(P<0.05).A组脐带脱落时间最短(145.56±30.75)h,分别显著低于B组、C组(P<0.05).结论 合适的脐带残端长度有利于缩短脐带脱落时间,促进脐部早日愈合,从而减轻护理人员护理脐带的工作量,减轻产妇及家属护理新生儿脐带的心理压力.
目的 研究新生兒斷臍時留取臍帶殘耑長度的影響.方法 採用隨機數字錶法隨機將入選的510例新生兒分為A、B、C三組,每組各170例,A組新生兒在距離臍輪0.5cm處夾臍帶夾,在距離臍帶0.5cm處剪斷臍帶,B組新生兒臍帶在距離臍輪1cm處夾臍帶夾,在距離臍帶1cm處剪斷臍帶,C組新生兒臍帶在距離臍輪2cm處夾臍帶夾,在距離臍帶夾1cm處剪斷臍帶.比較三組臍帶滲血、臍週分泌物、臍週皮膚紅腫、臍帶夾鬆脫及臍帶脫落時間.結果 A組臍帶滲血髮生率僅6.5%,顯著低于B組、C組(P<0.05).A組94.1%未齣現臍週分泌物,顯著高于B組、C組(P<0.05).A組臍週皮膚紅腫髮生率僅4.1%,顯著低于B組、C組(P<0.05).A組臍帶夾鬆脫率僅2.9%、顯著低于B組、C組(P<0.05).A組臍帶脫落時間最短(145.56±30.75)h,分彆顯著低于B組、C組(P<0.05).結論 閤適的臍帶殘耑長度有利于縮短臍帶脫落時間,促進臍部早日愈閤,從而減輕護理人員護理臍帶的工作量,減輕產婦及傢屬護理新生兒臍帶的心理壓力.
목적 연구신생인단제시류취제대잔단장도적영향.방법 채용수궤수자표법수궤장입선적510례신생인분위A、B、C삼조,매조각170례,A조신생인재거리제륜0.5cm처협제대협,재거리제대0.5cm처전단제대,B조신생인제대재거리제륜1cm처협제대협,재거리제대1cm처전단제대,C조신생인제대재거리제륜2cm처협제대협,재거리제대협1cm처전단제대.비교삼조제대삼혈、제주분비물、제주피부홍종、제대협송탈급제대탈락시간.결과 A조제대삼혈발생솔부6.5%,현저저우B조、C조(P<0.05).A조94.1%미출현제주분비물,현저고우B조、C조(P<0.05).A조제주피부홍종발생솔부4.1%,현저저우B조、C조(P<0.05).A조제대협송탈솔부2.9%、현저저우B조、C조(P<0.05).A조제대탈락시간최단(145.56±30.75)h,분별현저저우B조、C조(P<0.05).결론 합괄적제대잔단장도유리우축단제대탈락시간,촉진제부조일유합,종이감경호리인원호리제대적공작량,감경산부급가속호리신생인제대적심리압력.
Objective To research the influence of the stump length of the umbilical cord of neonatal cord clamping.Methods 510 neonates were divided to group A, B and C through random number table with 170 neonates in each. In group A, umbilical cord clamp was clamped at the distance of 0.5cm from navel chakra, and umbilical cord was cut at the distance of 0.5cm from umbilical cord. In group B, umbilical cord clamp was clamped at the distance of 1cm from navel chakra, and umbilical cord was cut at the distance of 1cm from umbilical cord. In group C, umbilical cord clamp was clamped at the distance of 2cm from navel chakra, and umbilical cord was cut at the distance of 1cm from umbilical cord clamp. Errhysis of umbilical cord, periumbilical secretions, periumbilical skin inflamed, and time of loose umbilical cord clamp and umbilical cord detachment of three groups were compared.ResultsOccurrence rate of errhysis of umbilical cord of group A was 6.5%, which was significantly lower than that of group B and C (P<0.05). 94.1% neonates of group A were not seen periumbilical secretions, which was significantly higher than that of group B and C (P<0.05). Loose rate of umbilical cord clamp of group A was 2.9%, which was significantly lower than that of group B and C (P<0.05). Loose time of umbilical cord of group A was shortest (145.56±30.75)h, which was significantly shorter than that of group B and C (P<0.05).Conclusion Appropriate stump length of the umbilical cord has benefit to shortening loose time of umbilical cord and improving umbilical healing soon, so as to alleviate workload of nurses in nursing umbilical cord, as well as alleviate psychological stress of puerperal and dependents in nursing neonates' umbilical cord.
