Chamnanvanakij Sangkae, Decharachakul Kesanee, Rasamimaree Phonphat, Vanprapar Nirun
Department of Pediatrics, Phramongkutklao Hospital, 315 Rajavithee Rd, Bangkok 10400, Thailand.
J Med Assoc Thai. 2005 Jul;88(7):967-72.
To compare time to cord separation, parental satisfaction and bacterial colonization, among 3 regimens of cord care at home.
Randomized controlled trial.
Term infants were randomly assigned based on cord care regimens at home: 1) triple dye, 2) alcohol, and 3) no antiseptic agent. Timing of cord separation, and parental satisfaction were evaluated during the first month of age.
185 infants were recruited. Time to cord separation in infants of group I was significantly longer than in group 2 (p = 0.036) and group 3 (p = 0.003). The satisfaction scores of group I were significantly lower than those of group 2 and group 3. 180 culture specimens were performed and positive in all but none had omphalitis.
Triple dye delayed time to cord separation and was less satisfactory. The authors conclude that using alcohol or dry clean could be alternative ways of umbilical cord care at home.
比较三种家庭脐带护理方案在脐带脱落时间、家长满意度及细菌定植方面的差异。
随机对照试验。
足月儿根据家庭脐带护理方案随机分组：1）三联染料；2）酒精；3）不使用防腐剂。在出生后第一个月评估脐带脱落时间及家长满意度。
共招募185名婴儿。第一组婴儿的脐带脱落时间显著长于第二组（p = 0.036）和第三组（p = 0.003）。第一组的满意度评分显著低于第二组和第三组。共进行了180次培养标本检测，全部呈阳性，但均无脐炎。
三联染料延迟了脐带脱落时间且满意度较低。作者得出结论，使用酒精或干性清洁可能是家庭脐带护理的替代方法。
