应用脐带夹断脐的临床观察.docVIP

精品论文 参考文献 应用脐带夹断脐的临床观察 孙宁（河南开封市妇产医院临产室 475000） 【中图分类号】R472【文献标识码】A【文章编号】1672-5085（2012）2-0268-02 【摘要】目的 观察1000例新生儿使用脐带夹与气门芯套扎法结扎脐带的临床效果。方法 选择2011年1月～2011年9月出生的足月新生儿1000例，产前随机分成2组,分别应用气门芯和脐带夹处理新生儿脐带, 观察用不同的断脐方法，新生儿脐带残端干枯的时间，脐部渗血、脐部炎性分泌物等进行对比。结果 脐带夹组新生儿脐部渗血、出现脐部炎性分泌物的发生率明显低于气门芯组,差异有显著性(plt;0.01),脐带夹组的脐部发红发生率明显高于气门芯组,差异有显著性(plt;0.01),但并不影响新生儿脐部愈合;2～3天（d）内脐带夹组脐带干枯率高于气门芯组,差异有显著性(plt;0.01)。结论 脐带夹结扎新生儿脐带效果优于气门芯,值得临床推广应用。 【关键词】新生儿脐带 气门芯 脐带夹 效果 Clinical application of umbilical cord observed pinch-off 【Abstract】 Objective To observe the 1000 cases of newborns with umbilical cord clip ligation of the umbilical cord with the valve core Ligation clinical effect. Methods: January 2010 - September 2011full- term newborn infants born in 1000 cases of prenatal randomly divided into 2 groups, respectively, the valve core and the application folder handling newborn umbilical cord, the effects of different methods of newborn umbilical cord remnant off end of dry time, umbilical bleeding, umbilical inflammatory secretions were compared. Results: The umbilical cord clip newborns umbilical bleeding, there umbilical inflammatory secretions was significantly lower than the valve core group, the difference was significant (P lt;0.01), red umbilical cord clip group was significantly higher than the valve core group, the difference was significant (P lt;0.01), but does not affect the neonatal umbilical healing; 3d group within the umbilical cord dry clip off the valve core group above, the difference was significant (P lt;0.02). Conclusion: The umbilical cord ligation and newborn umbilical cord clip is better than the valve core, is worthy of clinical application. 【Key words】Newborn umbilical cord Valve Umbilical cord clip result 新生儿脐带的脱落、愈合及不良反应与脐带结扎的方法密切相关。目前结扎脐带的方法有气门芯套扎及脐带夹、血管钳钳夹等,均以无菌操作、止血彻底、利于脐带早脱落为标准[1]。 1 资料与方法 1.1一般资料 对2011年1月～2011年9月在我院出生的足月新生儿（包括正常分娩的新生儿和剖宫产的手术儿），随机采取脐带夹或气门心结扎脐带，并随机选择1000例进行产后访视。按脐带直径分两组，脐带夹为实验组500例和气门心为对照组500例，共1000例为观察对象，