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三种断脐时机对新生儿感染的预防效果观察 被引量:7

Observation of three different cutting times of umbilical cord for prevention of neonatal infections
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摘要 目的:探讨比较三种断脐时机对新生儿感染的预防效果。方法:选择2013年9月~2014年9月在我院分娩的180例新生儿为研究对象。随机将新生儿等分成A,B,C 3组。各组均使用气门芯法进行断脐处理,A组断脐时机为脐带搏动停止之后进行;B组断脐时机为新生儿出生后立刻进行;C组断脐时机为胎盘娩出后进行。对比不同断脐时机所致并发症发生情况、脐带脱落时间及Apgar评分。结果:并发症中A组与B组、A组与C组之间两组比较差异均有统计学意义(P〈0.05),B组与C组比较差异无统计学意义(P〉0.05)。脐带脱落时间3组间两两比较差异均有统计学意义(P〈0.05)。Apgar评分3组间A组与C组比较,差异无统计学意义(P〉0.05),A组与B组、B组与C组比较差异均有统计学意义(P〈0.05)。结论:选择合理的断脐时机可在一定程度上预防感染,脐带搏动停止之后进行断脐的效果较好,值得在临床上推广应用。 Objective:To explore and compare three different cutting times of umbilical cord for prevention of neonatal infections. Methods:We selected 180 newborns delivered from September 2013 to September 2014 in our hospital as research objectives and randomly divided them into three groups of A, B, and C. The valve core was used in cutting the umbilical cord in each group. The umbilical cord was cut after the pulse stopped in Group A ; the cord was cut im- mediately after the babies were born in Group B ; and the cord was cut after the placenta was delivered in Group C. To compare the complications, the failing off times of umbilical cord,the Apgar grades in three different groups. Results:Comparative differences between Group A and Group B, and between Group A and Group C were statistically significant( P 〈 0.05 ), and those between Group B and Group C ( P 〈 0.05 ) were statistically insignificant. As for Apgar grades, the comparative differences between Group A and Group C ( P 〉 0.05 ) were statistically insignificant, while those between Group A and Group B, and between Group B and Group C were statistically significant (P 〈 0.05 ). Conclusion:The infection could be prevented to certain degree if the umbilical cord was cut in reasonable time. And it was proved that cutting the cord after the pulse stops would produce good effect and worth promotion and application in clinic.
作者 郑琳
出处 《护理实践与研究》 2016年第3期69-70,共2页 Nursing Practice and Research
基金 广东省深圳市宝安区科技计划社会公益项目(2012081)
关键词 断脐时机 新生儿感染 脐带脱落时间 Cutting time of umbilical cord Neonatal infection Shedding time of umbilical cord
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