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新生儿脐带处理的比较研究

A comparative study of neonates' umbilical cord management .

作者信息

Barclay L, Harrington A, Conroy R, Royal R, LaForgia J

出版信息

Aust J Adv Nurs. 1994 Mar-May;11(3):34-40.

PMID:7980882
Abstract

The aim of this study was to establish the effect of treating neonates' umbilical cords with chlorhexidine 0.5% in alcohol 70% on cord separation time and to observe the clinical and microbiological consequences of not treating the cords of healthy neonates. The treated group contained 466 babies whose cords were treated with chlorhexidine, 424 babies were not treated. Microbiological colonisation patterns of the cords of babies in both groups were monitored both for purposes of this investigation and to ensure that no untoward consequences resulted from non-treatment. The research showed that treatment prolonged separation time by 1.7 days, which was significant at the level of p = 0.000, and that normal colonisation was delayed in the treated group.

摘要

本研究的目的是确定用70%酒精中的0.5%洗必泰处理新生儿脐带对脐带脱落时间的影响,并观察不处理健康新生儿脐带的临床和微生物学后果。治疗组有466名婴儿,其脐带用洗必泰处理,424名婴儿未接受处理。为了本次调查以及确保不处理不会导致不良后果,对两组婴儿脐带的微生物定植模式进行了监测。研究表明,处理使脱落时间延长了1.7天,在p = 0.000水平具有显著性,并且处理组的正常定植延迟。

相似文献

1
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.
2
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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Double-blind comparative study on the care of the neonatal umbilical cord using 80% ethanol with or without chlorhexidine.使用含或不含氯己定的80%乙醇护理新生儿脐带的双盲对照研究。
J Hosp Infect. 2004 Sep;58(1):34-7. doi: 10.1016/j.jhin.2004.03.027.
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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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Impact of umbilical cord cleansing with 4.0% chlorhexidine on time to cord separation among newborns in southern Nepal: a cluster-randomized, community-based trial.尼泊尔南部新生儿使用4.0%氯己定进行脐带清洁对脐带脱落时间的影响:一项整群随机、基于社区的试验。
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6
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。
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Cord care: too much or too little.脐带护理:过多或过少。
Aust J Adv Nurs. 1990 Dec-Feb;7(2):19-22.
8
Measuring pain in neonates: evaluating an instrument and developing a common language.测量新生儿的疼痛:评估一种工具并建立通用语言。
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Dinosaurs in the bath.恐龙在浴缸里。
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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.

引用本文的文献

1
Umbilical cord antiseptics for preventing sepsis and death among newborns.用于预防新生儿败血症和死亡的脐带防腐剂。
Cochrane Database Syst Rev. 2013 May 31;2013(5):CD008635. doi: 10.1002/14651858.CD008635.pub2.
2
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.
3
Topical umbilical cord care at birth.出生时脐带局部护理。
Cochrane Database Syst Rev. 2004;2004(3):CD001057. doi: 10.1002/14651858.CD001057.pub2.
4
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.