愈脐胎毒清在新生儿黄疸及脐部愈合的临床应用分析.docVIP

精品论文 参考文献 愈脐胎毒清在新生儿黄疸及脐部愈合的临床应用分析 张慧珠 黄神姣 刘志红 刘慧姝（广州市妇女儿童医疗中心产科 广东广州 510623） 　　【摘要】目的：探讨愈脐胎毒清在新生儿黄疸及脐部脐部愈合的效果。方法：将360例足月新生儿随机分为三组：A组（应用愈脐胎毒清A型组）、B组（愈脐胎毒清B型组）、C组（对照组，采用传统脐部护理方法)，每组各120例。比较A、C组新生儿黄疸出现时间、消退时间、第1次胎便及黄色便排出时间；比较B、C组脐部并发症、脐带脱落时间。结果：A组黄疽消退、胎便、黄色便排出时间均较C组早，(Plt;0.05)；与C组比较，B组新生儿脐部并发症少，脱落早，愈合快(Plt;0.001)。结论：愈脐胎毒清A型包扎脐带能促进新生儿脐带残端愈合，减少脐部并发症，缩短脐带脱落；愈脐胎毒清B型缩短黄疸消退时间，并且经济方便，值得推广应用。 　　【关键词】愈脐胎毒清 新生儿黄疸 脐带并发症 　　【中图分类号】R720.5 【文献标识码】A 【文章编号】2095-1752（2013）35-0149-02 　　The clinical analysis of Taiduqing Umbilicus Therapy in neonatal jaundice and umbilical healing 　　【Abstract】 Objective To explore the efficacy of Taiduqing Umbilicus Therapy in neonatal jaundice and umbilical healing. Methods 360 neonates at term was divided into 3 groups at random, A group (group for using A-type Taiduqing Umbilicus Therapy), B group ( group for using B-type Taiduqing Umbilicus Therapy) , C group (control group for using traditional method), 120 for each group，Compared with the time of occurrence and recovery from jaundice, the length for phototherapy, the first dejection time；umbilical complication，the escharosis defluxion time of the umbilical cords were analyzed. Results Time of jaundice recovery, the first deject was earlier in A group than C group (Plt;0.001). Less umbilical complication, earlier escharosis defluxion and healing of umbilicus in B group was noted relative to C group (Plt;0.001). Conclusion A-type Taiduqing Umbilicus Therapy can promote neonatal umbilical healing, less complication, shorten time for escharosis defluxion；B-type Taiduqing Umbilicus Therapy can shorten the time of jaundice recovery. 　　【Key words】 Taiduqing Umbilicus Therapy neonatal jaundice umbilical complication 　　新生儿生理性黄疸及脐部感染是新生儿常见的并发症。新生儿的脐部与体内的血管相通，对新生儿脐部的合适护理，会减少新生儿发生局部感染、脐部出血及新生儿黄疸、败血症等围生期并发症。如何预防和正确处理新生儿脐部感染和黄疸，是产科医护人员的重要课题。愈脐胎毒清A型可以促进黄疸消退，减少胆红素的肝肠循环和降低血中胆红素的水平，B型则有促进新生儿脐带脱落，防止脐部感染的作用。为了使脐带残端干燥脱落，促进其愈合，避免脐渗液渗血和感染，促进黄疸早恢复，我院产科对新生