CAJ | 학술논문

目的：探讨脐部暴露法在早产儿脐部护理中的应用效果。方法将393例早产儿随机分为实验组和对照组，实验组195例，对照组198例，实验组早产儿采用脐部暴露法，对照组采用脐部包扎法。比较两组早产儿脐带脱落和脐部愈合时间，脐炎，脐部红肿、出血，呼吸改变等情况。结果两组早产儿脐带脱落和脐部愈合时间及脐炎，脐部出血、红肿，呼吸改变发生率比较，差异具有统计学意义（均P＜0.05），实验组早产儿脐带脱落和脐部愈合时间较对照组明显缩短，脐炎，脐部出血、红肿，呼吸改变发生率明显低于对照组。结论使用脐部暴露法有利于促进早产儿脐带早干燥、早脱落，降低早产儿脐部感染发生率，是安全、有效的早产儿脐部护理方法，值得临床推广应用。
목적：탐토제부폭로법재조산인제부호리중적응용효과。방법장393례조산인수궤분위실험조화대조조，실험조195례，대조조198례，실험조조산인채용제부폭로법，대조조채용제부포찰법。비교량조조산인제대탈락화제부유합시간，제염，제부홍종、출혈，호흡개변등정황。결과량조조산인제대탈락화제부유합시간급제염，제부출혈、홍종，호흡개변발생솔비교，차이구유통계학의의（균P＜0.05），실험조조산인제대탈락화제부유합시간교대조조명현축단，제염，제부출혈、홍종，호흡개변발생솔명현저우대조조。결론사용제부폭로법유리우촉진조산인제대조간조、조탈락，강저조산인제부감염발생솔，시안전、유효적조산인제부호리방법，치득림상추엄응용。
Objective To explore the effect of bellybutton exposure on premature navel nursing effect.Method Three hundred and ninety-three premature infants were randomly divided into experiment group(n=195)and control group(198). Bellybutton fasciation and bellybutton exposure were used in the control group and the experiment group respectively. The two groups were compared in terms of umbilical shedding,time of umbilical healing,umbilical swelling,bleeding and breathing.Result The umbilical healing time in the experiment group was significantly shorter than that of the control group(P<0.05). The incidences of omphalitis,umbilical swelling and bleeding, changed breathing in the experiment group were significantly lower than those of the control group(all P<0.05).Conclusion The bellybutton exposure is effective in promoting the umbilical shedding in premature infants and reducing the incidence rate of premature navel infection.