新生兒臍部護(hù)理中二次剪臍時(shí)間的探討

論文編號(hào):HL049  論文字?jǐn)?shù):4835.頁(yè)數(shù):13

論文題目：新生兒臍部護(hù)理中二次剪臍時(shí)間的探討
摘  要
 
 目的：比較采用不同時(shí)間行新生兒臍部二次修剪對(duì)其臍部的愈合和臍帶殘端并發(fā)癥的影響，尋求合理的新生兒臍部護(hù)理方法。 
 方法：選取黃山市人民醫(yī)院母嬰同室2011年5月1日至5月31日足月健康新生兒126例，隨機(jī)將新生兒分成實(shí)驗(yàn)組（A）和對(duì)照組(B)各63例，新生兒出生后即行常規(guī)方法斷臍結(jié)扎，對(duì)照組新生兒在出生后24-48小時(shí)內(nèi)行二次斷臍，實(shí)驗(yàn)組新生兒在出生后48-72小時(shí)內(nèi)行二次斷臍，觀察比較兩組新生兒臍帶殘端的出血，滲液，臍周有無(wú)發(fā)紅，有無(wú)臍炎發(fā)生。     
 結(jié)果 ：兩組新生兒臍帶殘端出血率比較差異有統(tǒng)計(jì)學(xué)意義（p〈0.05 ) ，而新生兒臍炎的比較差異無(wú)統(tǒng)計(jì)學(xué)意義（p〉0.05.) 
 結(jié)論：新生兒出生后滿48-72小時(shí)行二次剪臍，此時(shí)臍帶殘端膠質(zhì)萎縮，剪臍后并發(fā)癥少，值得臨床應(yīng)用推廣。
 
 關(guān)鍵詞：新生兒 ；臍炎；出血
 新生兒：新生嬰兒，特指未滿月的嬰兒或出生至28天的孩子
 臍炎：新生兒臍炎是由于斷臍時(shí)或出生后處理不當(dāng)而被金黃色葡萄球菌、大腸桿菌或溶血性鏈球菌等侵染臍部所致。
 出血：血液從血管或心臟流至組織間隙、體腔內(nèi)或體外的現(xiàn)象。
 
 論文類(lèi)型：應(yīng)用研究
Title: newborn umbilical care in time of the second cut the umbilical
                          Abstract
 Objective: To compare different time line of the second cut its umbilical newborn umbilical cord stump healing and the impact of complications, neonatal umbilical care for a reasonable way.
 Methods: Huangshan Municipal People's Hospital of rooming-2011 年 May 1 to May 31 healthy full-term newborn in 126 cases, newborns were randomly divided into experimental group (A) and the control group (B) of the 63 cases, new children born after conventional methods of line off the umbilical ligation in the control group 24-48 hours after birth, neonatal experts in the second off the umbilical, the experimental group infants 48-72 hours after birth, experts in the second off the umbilical observed and compared two groups of newborn umbilical cord stump bleeding, exudate,
 Results: There were more neonatal umbilical cord stump bleeding rate was significantly (p <0.05), and neonatal omphalitis the difference was not statistically significant (p> 0.05.)
 Conclusion: at least 48-72 hours after birth the umbilical line of the second cut, this time the umbilical cord stump glial atrophy, fewer complications after cutting the umbilical, is worthy of clinical application and popularization.
 Key words: newborn; omphalitis; bleeding
 Newborn: newborn baby, especially a baby less than a month or a child from birth to 28 days。
   newborn umbilical omphalitis due to broken or improper handling after birth were Staphylococcus aureus, E. coli or hemolytic streptococcus infection caused by umbilical
 Bleeding: the blood flow to the heart from the blood or tissue space, body cavity or in vitro phenomenon.
 Paper type: Applied Research

目錄
 1 緒論 1
 1.1背景及意義 1
 1.2研究目的及目標(biāo) 1
 1.3關(guān)鍵詞及定義 2
 1.4文獻(xiàn)回顧 2
 2 研究方法 5
 2.1 研究設(shè)計(jì) 5
 2.2 研究對(duì)象 5
 2.3 研究方法 5
 2.4 統(tǒng)計(jì)學(xué)分析方法 5
 3 研究結(jié)果 7
 3.1一般資料 7
 3.2 兩組新生兒臍帶殘端并發(fā)癥發(fā)生情況 7
 4 討論 8
 4.1二次剪臍的意義 8
 4.2時(shí)間和技巧是關(guān)鍵 8
 5 推論及建議 9
 5.1推論 9
 5.2建議 9
 致 謝 10
 參考文獻(xiàn) 11