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出生后脐带护理:近期文献的有限综述。

Care of the umbilical cord after birth: A limited review of recent literature.

作者信息

Walker C R

机构信息

Department of Paediatrics, University of Ottawa, and Critical Care Patient Service Unit and Division of Neonatology, Children's Hospital of Eastern Ontario, Ottawa, Ontario.

出版信息

Paediatr Child Health. 1999 Mar;4(2):105-7. doi: 10.1093/pch/4.2.105.

DOI:10.1093/pch/4.2.105
PMID:20212970
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2828202/
Abstract

A 1992 meta-analysis did not find enough evidence to recommend one method of umbilical cord care as the 'best'. However, certain agents were deemed acceptable including triple dye, silver sulfadiazine and antibiotic ointments. In this paper, the authors sought to discover whether there was now evidence to support one specific method of cord care over others for the prevention of bacterial infection. After a limited search of the English language literature published in the past 10 years, little evidence was found to suggest that treatments to sterilize or speed up the drying of the umbilical cord were either routinely necessary or efficacious. Results from nine studies are summarized in this paper.

摘要

1992年的一项荟萃分析未找到足够证据来推荐某一种脐带护理方法为“最佳”方法。然而,某些制剂被认为是可接受的,包括三联染料、磺胺嘧啶银和抗生素软膏。在本文中,作者试图探寻目前是否有证据支持某一种特定的脐带护理方法优于其他方法以预防细菌感染。在对过去10年发表的英文文献进行有限检索后,几乎没有发现证据表明对脐带进行消毒或加速其干燥的处理是常规必要的或有效的。本文总结了9项研究的结果。

相似文献

1
Care of the umbilical cord after birth: A limited review of recent literature.出生后脐带护理:近期文献的有限综述。
Paediatr Child Health. 1999 Mar;4(2):105-7. doi: 10.1093/pch/4.2.105.
2
The effect of topical application of human milk, ethyl alcohol 96%, and silver sulfadiazine on umbilical cord separation time in newborn infants.局部应用人乳、96%乙醇和磺胺嘧啶银对新生儿脐带脱落时间的影响。
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To dye or not to dye: a randomized, clinical trial of a triple dye/alcohol regime versus dry cord care.是否进行脐带染色:一项关于三联染料/酒精方案与脐带干燥护理的随机临床试验
Pediatrics. 2003 Jan;111(1):15-20. doi: 10.1542/peds.111.1.15.
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Effect of antiseptic cord care on bacterial colonization in the newborn infant.抗菌脐带护理对新生儿细菌定植的影响。
Chemotherapy. 1980;26(5):372-6. doi: 10.1159/000237929.
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Staphylococcal and streptococcal colonization of the newborn infant: effect of antiseptic cord care.新生儿的葡萄球菌和链球菌定植:抗菌脐带护理的效果
Am J Dis Child. 1977 Sep;131(9):1005-8. doi: 10.1001/archpedi.1977.02120220071012.
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[Myth of neonatal umbilical cord care].
Hu Li Za Zhi. 2009 Oct;56(5):80-6.
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A randomized study of 3 umbilical cord care regimens at home in thai neonates: comparison of time to umbilical cord separation, parental satisfaction and bacterial colonization.泰国新生儿在家中三种脐带护理方案的随机研究:脐带脱落时间、家长满意度及细菌定植情况的比较
J Med Assoc Thai. 2005 Jul;88(7):967-72.
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Impact of ethanol, dry care and human milk on the time for umbilical cord separation.乙醇、干燥护理和母乳对脐带脱落时间的影响。
J Pak Med Assoc. 2013 Sep;63(9):1117-9.
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Umbilical cord care. A study of bacitracin ointment vs. triple dye.脐带护理。杆菌肽软膏与三联染料的对比研究。
Clin Pediatr (Phila). 1984 Jun;23(6):342-4. doi: 10.1177/000992288402300609.

本文引用的文献

1
Cleaning solutions and bacterial colonization in promoting healing and early separation of the umbilical cord in healthy newborns.清洁溶液与细菌定植对健康新生儿脐带愈合及早期脱落的促进作用
Can J Public Health. 1997 Nov-Dec;88(6):380-2. doi: 10.1007/BF03403910.
2
What cord care--if any?脐带护理——如果需要的话,该怎么做?
Arch Dis Child. 1993 May;68(5 Spec No):594-6. doi: 10.1136/adc.68.5_spec_no.594.
3
Antiseptic cord care reduces bacterial colonization but delays cord detachment.抗菌脐带护理可减少细菌定植,但会延迟脐带脱落。
Arch Dis Child Fetal Neonatal Ed. 1994 Jul;71(1):F70. doi: 10.1136/fn.71.1.f70.
4
A comparative study of neonates' umbilical cord management .新生儿脐带处理的比较研究
Aust J Adv Nurs. 1994 Mar-May;11(3):34-40.
5
A comparison of umbilical cord treatment in the control of superficial infection.脐带治疗在控制浅表感染方面的比较。
N Z Med J. 1988 Jul 13;101(849):453-5.
6
Time of separation of the umbilical cord: a comparative study of treatment with alcohol and Rikospray.脐带分离时间:酒精与利可喷雾治疗的比较研究
Eur J Obstet Gynecol Reprod Biol. 1989 Aug;32(2):89-93. doi: 10.1016/0028-2243(89)90188-3.
7
Hydrophobic material in routine umbilical cord care and prevention of infections in newborn infants.
Scand J Infect Dis. 1990;22(6):729-33. doi: 10.3109/00365549009027128.
8
Cord care appraised.脐带护理评估。
Aust Nurses J. 1990 Sep;20(2):22-3.
9
Staphylococcus aureus still colonizes the untreated neonatal umbilicus.金黄色葡萄球菌仍定植于未经治疗的新生儿脐带。
J Hosp Infect. 1992 Jun;21(2):131-6. doi: 10.1016/0195-6701(92)90032-h.