摘要
目的研究对新生儿脐部细菌定植及感染的干预措施。方法先调查本院出生的346例新生儿未进行干预,了解其脐部细菌定植及感染情况,并探讨感染的高危因素。再将本院出生的692例,随机分为常规干预组、洁悠神组,每组各346例。常规干预组:脐带结扎位置不超过0.5cm、脐带残端不超过0.5cm、注意脐带贴卫生、加强手卫生、加强脐部消毒干预措施。洁悠神组在常规干预组基础上每天每8h用洁悠神喷脐部一次。结果常规干预组、洁悠神组与未干预组相比细菌定植率无显著差异(χ2分别为0.11、2.24,P均>0.05)。常规干预组与未干预组相比大肠埃希菌脐部细菌定植有显著性差异,洁悠神组金黄色葡萄球菌、耐甲氧西林金黄色葡萄球菌(MRSA)、表皮葡萄球菌脐部细菌定植与未干预组相比有显著差异(P<0.05)。常规干预组、洁悠神组与未干预组相比感染率有显著差异(χ2分别为12.77,28.06,P均<0.05)。结论针对高危因素制定的干预措施,有效降低脐部感染的发生,如配合洁悠神干预预防效果更明显。
Objective To study the interventions of bacterial colonization and infection of newborn umbilical. Method Investigate 346 cases of neonatal hospital birth without intervention, studying their umbilical bacterial colonization and infection and exploring risk factors for infection. Then the 692 cases of Hospital born were randomly divided into the conventional intervention group and Jieyoushen group, n = 346 cases. The distance of Ligation position and umbilical cord root in conventional intervention group does not exceed 0.5cm. The umbilical cord stump in conventional intervention group is not more than 0.5era. Pay attention to interventions such as the cleanness of Umbilical cord attached and the cleanness of hands and strengthen disinfection of umbilical conventional intervention group. Jieyoushen group sprayed the umbilicus every 8 hours per day on the basis of conventional intervention group. Results The conventional intervention group and the Jieyoushen group were not significantly different on the rate of bacterial colonization（x2, respectively 0.11,2.24, P〉0.05; ） compared with the untreated group. Conventional intervention group had significant difference on Escherichia coli the umbilicus bacterial colonization compared with the untreated group; the Jieyoushen Group had significant difference on Staphylococcus aureus, methicillin-resistant Staphylococcus aureus （MRSA）, Staphylococcus epidermidis the umbilical bacteria colonization compared with the untreated group （P〈0.05）. Conventional intervention group and the Jieyoushen group had significant difference （x2, respectively 12.77,28.06,P〈0.05） compared with non-intervention group. Conclusion Interventions for Risk factors have reduced the occurrence of umbilical infection effectively. Preventive effect will be more obvious if combined with intervention of Jieyoushen.
出处
《中国医药指南》
2012年第23期404-406,共3页
Guide of China Medicine
关键词
干预
新生儿脐部
细菌定植
感染
Intervention
Newborn navel region
Bacterium field planting
Infection
