Ahn Youngmee, Sohn Min, Jun Yonghoon, Lee Eunyoung, Lee Sangmi
Inha University, Korea
Inha University, Korea.
J Child Health Care. 2015 Mar;19(1):118-29. doi: 10.1177/1367493513503580. Epub 2013 Oct 3.
This randomized clinical study explored the effects of two cord care methods on hydration, temperature, pH, and floras at the cord area in high-risk newborns. One group used the water method; and the other group used the alcohol method. Seventy-two newborns, including premature newborns, in the neonatal intensive care unit (NICU) of a university-affiliated hospital in South Korea were enrolled from August 2011 to May 2012. Hydration, temperature, pH, and floras were measured daily until the cords fell off. The results showed no difference between the groups in hydration, temperature, pH, and the colonization of floras, but cord detachment in the alcohol group took 2 days longer (12.8 [5.7] days) than in the water group (10.9 [4.1] days). Our findings suggest that the clean-and-dry method of cord care, which uses water, could be sufficient, possibly even better than alcohol in maintaining the physiologic surface milieu of the cord area with less chance of infection and manipulation in NICUs with optimal infection control.
这项随机临床研究探讨了两种脐带护理方法对高危新生儿脐带部位的水合作用、温度、pH值和菌群的影响。一组采用水法；另一组采用酒精法。2011年8月至2012年5月，韩国一家大学附属医院新生儿重症监护病房（NICU）招募了72名新生儿，包括早产儿。每天测量水合作用、温度、pH值和菌群，直到脐带脱落。结果显示，两组在水合作用、温度、pH值和菌群定植方面没有差异，但酒精组脐带脱落时间比水组延长2天（酒精组为12.8[5.7]天，水组为10.9[4.1]天）。我们的研究结果表明，使用水的清洁干燥脐带护理方法可能就足够了，在感染控制良好的新生儿重症监护病房中，在维持脐带部位生理表面环境方面，甚至可能比酒精法更好，且感染和操作风险更低。
