摘要
为探讨新生儿剪脐的适当时机，我们观察了１１６ 例新生儿的脐部处理，随机分为潮湿组、干燥组和过干组，分别观察各组剪脐时和剪脐后的出血率、局部分泌物情况和细菌培养以及剪脐前脐带干湿度与出生后时间的关系。结果表明：干燥组剪脐时和剪脐后出血率显著低于其他组，剪脐后局部干燥率高，细菌培养致病菌阳性率低，脐部愈合时间较短。新生儿出生后２８ ～３３ｈ ，脐带处于干燥状态的机会最大（ 占观察例数的７２ ．４１ ％ ） ，显著高于其他时间段。因此我们认为剪脐最合适的时机应以脐带干燥为准，而不能单纯以时间为准。如果从时间安排的角度来看，在新生儿出生后２８ ～３３ｈ ，大部分脐带属于干燥，此时大部分新生儿可以剪脐。
For exploring the appropriate timing of cutting umbilical cord in neonate,we observed the process of disposing of the umbilical cord in 116 cases of neonate.They were randomly divided into three groups:humid group,dry group and over-dry group.The indicators included the bleeding rate in umbilical cord when and after cutting umbilical cord,the situation of local secretion,bacterial culture and the relation between the dry degree of umbilical cord before the cutting and the time after birth.The results indicated that the bleeding rate in dry group was lower than other groups when and after cutting umbilical cord,local dry rate after the cutting was higher,the positive rate was lower and the healing time of umbilical cord was shorter than other groups.The biggest chance that umbilical cord belonged to dry group appeared in 28～33h after birth(72.41%),was higher than other time segments.We considered that most appropriate timing of cutting umbilical cord depended on the dryness of umbilical cord,other than the time after birth.If the time of cutting umbilical cord was considered,28～33h after birth was the best time when most umbilical cord belong to dry group.Most neonates could be cut umbilical cord in this time segment. Author's address Department of gynaecology and obstetrics,Guangzhou Red Cross Hospital,510220
出处
《中华护理杂志》
CSCD
北大核心
1999年第9期523-525,共3页
Chinese Journal of Nursing
关键词
新生儿
脐带
剪脐
临床观察
Neonate Umbilical cord Timing of cutting umbilical cord
