Effects of delayed cord clamping and early targeted nursing intervention on the control effect of umbilical infection in premature infants / 中国实用护理杂志

ABSTRACT

Objective To investigate the effects of delayed cord clamping and early targeted care intervention on the infection control of premature infants. Methods A retrospective study of 362 premature babies admitted to our hospital from June 2016 to June 2017 was conducted. There are two groups based on the time of the broken navel. The control group (n=202) was the group with premature umbilical rupture. The observation group (n=160) was the late umbilicus breaking group. The umbilical cord complications, the residual blood volume of the placenta and the time of umbilical cord shedding were observed. Results The umbilical cord complications of premature infants were compared between the two groups. The incidence of umbilical hemorrhage, periumbilical redness, infection of umbilicus in the observed group was 1.88%(3/160), 2.50%(4/160), 3.75%(6/160), and the control group was 9.90%(20/202), 7.92% (16/202), and 13.27% (27/202), respectively. There were significant differences between the two groups (χ2=9.666, 5.026, 9.965, P<0.05). Umbilical cord abscission time and residual blood volume of placenta in the observation group were (7.36 ± 2.18) d, (67.43 ± 17.37) ml, and the control group were (9.98 ± 3.18)d, (146.03 ± 31.45)ml, with significant differences between the two groups (t=4.151, 13.577, P<0.05). Conclusions Delayed cord clamping can reduce the incidence of anemia and umbilical infection in premature infants, reducing the incidence of umbilical infection.but in clinical practice, it is recommended to select appropriate methods according to the condition of premature infants.