新生儿脐带断端自然干燥法的护理效果

Effect of natural drying method on umbilical care of neonates

  • 摘要:
    目的 比较自然干燥法与传统乙醇消毒法在新生儿脐部护理中的应用效果, 为临床提供更优的新生儿脐部护理方法。
    方法 选择解放军总医院第一医学中心2024年8月-2024年11月分娩的212例正常新生儿作为研究对象, 脐部护理方法采用随机数表法分为自然干燥法103例, 传统乙醇消毒法109例, 比较两组新生儿脐带脱落时间、脐部出血以及脐部分泌物发生率等情况。
    结果 自然干燥法处理下脐带脱落愈合时间≤7 d的新生儿有16例, 与传统乙醇消毒法相比增加了5例。传统乙醇消毒法平均脐部脱落愈合时间为13.12 d, 自然干燥法处理下新生儿平均脐部脱落愈合时间为11.69 d,相比缩短1.43 d, 差异有统计学意义(P<0.05)。传统乙醇消毒法处理下脐部出血率和脐部分泌物发生率分别为6.42%、2.75%, 自然干燥法处理下脐部出血率和脐部分泌物发生率分别为5.82%、0.97%, 相比传统乙醇消毒法分别降低0.60%和1.78%, 但差异无统计学意义。
    结论 较传统乙醇消毒法相比, 自然干燥法能够缩短婴儿脐带脱落时间, 降低脐部感染风险, 有助于减轻新生儿护理压力, 值得推广。

     

    Abstract:
    OBJECTIVE To compare the effect on umbilical care of the neonates between the natural dying method and the traditional ethanol disinfection method so as to provide a better method of umbilical nursing for the neonates.
    METHODS A total of 212 healthy neonates who were given birth in the First Medical Center of Chinese PLA General Hospital from Aug. 2024 to Nov. 2024 were recruited as the research subjects and were randomly divided into the natural drying method with 103 cases and the traditional ethanol disinfection method with 109 cases according to the method of umbilical care. The time of umbilical cord separation, rate of umbilical bleeding and incidence of umbilical secretions were observed and compared between the two groups of neonates.
    RESULTS There were 16 neonates with the healing time of umbilical cord separation no more than 7 days under the treatment of natural drying method, with 5 cases more than the neonates under the treatment of traditional ethanol disinfection method. The average healing time of umbilical cord separation was 11.69 days under the natural drying method, 1.43 days shorter than 13.12 days under the traditional ethanol disinfection method, and there was significant difference (P<0.05). The rate of umbilical bleeding was 5.82% under the natural drying method, a reduction of 0.60% as compared with 6.42% under the traditional ethanol disinfection method; the incidence of umbilical secretions was 0.97% under the national drying method, a reduction of 1.78% as compared with 2.75% under the traditional ethanol disinfection method, but there were no significant differences.
    CONCLUSIONS As compared with the traditional ethanol disinfection method, the natural drying method can shorten the time of umbilical cord separation, reduce the risk of umbilical infection, and reduce the stress from the neonatal nursing. It is worthy to be promoted.

     

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