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[新生儿脐带护理建议]

[Recommendations for the care of the umbilical cord in the newborn].

作者信息

Leante Castellanos José Luis, Pérez Muñuzuri Alejandro, Ruiz Campillo César W, Sanz López Ester, Benavente Fernández Isabel, Sánchez Redondo María Dolores, Rite Gracia Segundo, Sánchez Luna Manuel

机构信息

Hospital General Universitario Santa Lucía, Cartagena, España.

Hospital Clínico Universitario, Santiago de Compostela, España.

出版信息

An Pediatr (Engl Ed). 2019 Jun;90(6):401.e1-401.e5. doi: 10.1016/j.anpedi.2019.01.019. Epub 2019 Apr 7.

DOI:10.1016/j.anpedi.2019.01.019
PMID:30971383
Abstract

The care of the umbilical cord until its detachment still remains controversial. The latest updated recommendations by the World Health Organisation advocate dry cord care in those countries with adequate obstetric care and low neonatal mortality rate. In recent years, new studies and reviews attribute some benefit to applying chlorhexidine on the umbilical stump. An analysis is presented here of the available evidence and results in the advisability of still recommending the dry cord care in the newborns in our setting.

摘要

在脐带脱落之前对其进行护理仍然存在争议。世界卫生组织的最新建议主张,在那些具备充足产科护理且新生儿死亡率较低的国家采用脐带干燥护理法。近年来,新的研究和综述认为在脐带残端涂抹洗必泰有一定益处。本文对现有证据进行了分析,结果表明在我们的环境中仍建议对新生儿采用脐带干燥护理法。

相似文献

1
[Recommendations for the care of the umbilical cord in the newborn].[新生儿脐带护理建议]
An Pediatr (Engl Ed). 2019 Jun;90(6):401.e1-401.e5. doi: 10.1016/j.anpedi.2019.01.019. Epub 2019 Apr 7.
2
Umbilical cord care in premature infants: the effect of two different cord-care regimens (salicylic sugar powder vs chlorhexidine) on cord separation time and other outcomes.早产儿脐带护理:两种不同脐带护理方案(水杨酸糖粉与洗必泰)对脐带脱落时间及其他结局的影响。
Pediatrics. 2003 Oct;112(4):e275. doi: 10.1542/peds.112.4.e275.
3
Efficacy of chlorhexidine application to umbilical cord on neonatal mortality in Pemba, Tanzania: a community-based randomised controlled trial.坦桑尼亚奔巴岛用洗必泰溶液处理脐带对新生儿死亡率的影响:一项基于社区的随机对照试验。
Lancet Glob Health. 2016 Nov;4(11):e837-e844. doi: 10.1016/S2214-109X(16)30223-6. Epub 2016 Sep 29.
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Efficacy of umbilical cord cleansing with a single application of 4% chlorhexidine for the prevention of newborn infections in Uganda: study protocol for a randomized controlled trial.在乌干达单次使用4%氯己定进行脐带清洁预防新生儿感染的效果:一项随机对照试验的研究方案
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Topical applications of chlorhexidine to the umbilical cord for prevention of omphalitis and neonatal mortality in southern Nepal: a community-based, cluster-randomised trial.尼泊尔南部应用洗必泰局部涂抹脐带预防脐炎和新生儿死亡的社区整群随机试验
Lancet. 2006 Mar 18;367(9514):910-8. doi: 10.1016/S0140-6736(06)68381-5.
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Impact of chlorhexidine cleansing of the umbilical cord on cord separation time and neonatal mortality in comparison to dry cord care - a nursery-based randomized controlled trial.与脐带干燥护理相比,洗必泰清洁脐带对脐带脱落时间和新生儿死亡率的影响——一项基于新生儿重症监护室的随机对照试验
J Matern Fetal Neonatal Med. 2014 Aug;27(12):1262-5. doi: 10.3109/14767058.2013.854325. Epub 2013 Nov 7.
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Higher rate of cord-related adverse events in neonates with dry umbilical cord care compared to chlorhexidine powder. Results of a randomized controlled study to compare efficacy and safety of chlorhexidine powder versus dry care in umbilical cord care of the newborn.与使用氯己定粉末相比,新生儿采用脐带干燥护理时脐带相关不良事件发生率更高。一项比较氯己定粉末与干燥护理在新生儿脐带护理中疗效和安全性的随机对照研究结果。
Neonatology. 2009;96(1):13-8. doi: 10.1159/000200165. Epub 2009 Feb 7.
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The effect of umbilical cord cleansing with chlorhexidine gel on neonatal mortality among the community births in South Sudan: a quasi-experimental study.脐带氯己定凝胶清洗对南苏丹社区分娩新生儿死亡率的影响:一项准实验研究。
Pan Afr Med J. 2021 Jan 22;38:78. doi: 10.11604/pamj.2021.38.78.21713. eCollection 2021.
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Effect of topical application of chlorhexidine for umbilical cord care in comparison with conventional dry cord care on the risk of neonatal sepsis: a randomized controlled trial.比较氯己定局部应用与传统脐带干燥护理对新生儿败血症风险的影响:一项随机对照试验。
J Trop Pediatr. 2013 Jun;59(3):209-13. doi: 10.1093/tropej/fmt003. Epub 2013 Feb 13.
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A review of studies with chlorhexidine applied directly to the umbilical cord.对直接应用于脐带的洗必泰的研究进行综述。
Am J Perinatol. 2013 Sep;30(8):699-701. doi: 10.1055/s-0032-1329695.

引用本文的文献

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Breast Milk Application as a Natural Method for Umbilical Cord Care: A Community-Label 3-Arm Pilot Clinical Trial.母乳涂抹作为脐带护理的自然方法:一项社区标记的三臂试点临床试验。
Matern Fetal Med. 2024 Oct 11;6(4):203-210. doi: 10.1097/FM9.0000000000000243. eCollection 2024 Oct.
2
Newborn care knowledge and practices among care givers of newborns and young infants attending a regional referral hospital in Southwestern Uganda.乌干达西南部一家地区转诊医院新生儿和幼儿照顾者的新生儿护理知识和实践。
PLoS One. 2024 May 7;19(5):e0292766. doi: 10.1371/journal.pone.0292766. eCollection 2024.
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Mothers' cord care practices in an academic hospital in Kenya.
肯尼亚一所学术医院的产妇脐带护理实践。
Afr Health Sci. 2023 Mar;23(1):429-437. doi: 10.4314/ahs.v23i1.45.