护理干预对预防新生儿脐部感染影响.docVIP

护理干预对预防新生儿脐部感染影响 　　【摘要】 目的：观察与分析护理干预在预防新生儿脐部感染中的临床效果。方法：随机抽取2012年6月-2015年6月于笔者所在医院出生的新生儿400例进行临床研究，通过随机数字列表法将所有新生儿随机分成对照组（200例）与研究组（200例）。对照组新生儿给予常规脐部护理服务，研究组新生儿则施行护理干预。观察和记录两组新生儿的脐部感染发生情况，并进行对比分析。结果：研究组新生儿的脐带脱落时间为（4.98±2.39）d，显著低于对照组的（7.87±3.71）d，脐周皮损率（0）显著低于对照组（18.0%），脐部感染率（1.50%）显著低于对照组（11.00%），差异均有统计学意义（P0.05）。结论：护理干预有助于降低新生儿脐部感染的发生率，值得在临床上进一步推广应用。 　　【关键词】 新生?海? 脐部感染； 预防； 护理干预； 效果 　　doi：10.14033/j.cnki.cfmr.2017.2.044 文献标识码 B 文章编号 1674-6805（2017）02-0083-03 　　Effect of Nursing Intervention on Prevention of Neonatal Umbilical Infection/WANG Nan-nan，YANG Man-man，LI Hui.//Chinese and Foreign Medical Research，2017，15（2）：83-85 　　【Abstract】 Objective：To study the clinical effect of nursing intervention on prevention of neonatal umbilical infection.Method：From June 2012 to June 2015，a total of 400 neonates born in our hospital were taken as the clinical research objects，and they were randomly divided into study group（200 cases） and control group（200 cases）.Neonates in the control group were treated with routine umbilical nursing，and the other neonates in the study group were treated with nursing intervention in order to compare and analyze their umbilical infection rate.Result：The shedding time of umbilical cord，umbilical skin lesion rate and umbilical infection rate in the study group were respectively （4.98±2.39）d，0 and 1.50%，which were significantly lower than （7.87±3.71）d， 18.0% and 11.0% in the control group，and their differences were statistically significant（P0.05）.Conclusion：Nursing intervention is helpful to reduce the incidence of neonatal umbilical infection.Thus，it is worthy of clinical application. 　　【Key words】 Neonate； Umbilical infection； Prevention； Nursing intervention； Effect 　　First-author’s address：Women and Children Health Care Center of Luoyang，Luoyang 471000，China 　　新生儿的脐部是感染的高发区域，其出生后将脐带剪断后的断端属于开放性创面，故容易遭受病原微生物的侵害，尤其是极易引发厌氧菌感染，造成急性炎症，严重者甚至会导致新生儿出现全身感染[1]。由于新生儿的机体防御力低，属于易感人群，若在其出生后未及时对其脐部进行合理的护理，往往容易引发新生儿脐部出血和感染，严重时甚至会出现败血症，进而对新生儿的生命健康造成