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早期新生児の臍帯消毒の必要性の検討
http://hdl.handle.net/10069/0002000448
http://hdl.handle.net/10069/000200044818446593-b954-412e-afae-fc8cc9a4e6bc
名前 / ファイル | ライセンス | アクション |
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hokenn36_9.pdf (491 KB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||||||||
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公開日 | 2023-12-15 | |||||||||||
タイトル | ||||||||||||
言語 | ja | |||||||||||
タイトル | 早期新生児の臍帯消毒の必要性の検討 | |||||||||||
言語 | ||||||||||||
言語 | jpn | |||||||||||
キーワード | ||||||||||||
言語 | ja | |||||||||||
主題Scheme | Other | |||||||||||
主題 | 臍帯ケア | |||||||||||
キーワード | ||||||||||||
言語 | ja | |||||||||||
主題Scheme | Other | |||||||||||
主題 | 自然乾燥法 | |||||||||||
キーワード | ||||||||||||
言語 | ja | |||||||||||
主題Scheme | Other | |||||||||||
主題 | アルコール消毒 | |||||||||||
キーワード | ||||||||||||
言語 | ja | |||||||||||
主題Scheme | Other | |||||||||||
主題 | 臍炎 | |||||||||||
キーワード | ||||||||||||
言語 | ja | |||||||||||
主題Scheme | Other | |||||||||||
主題 | 臍帯脱落 | |||||||||||
キーワード | ||||||||||||
言語 | en | |||||||||||
主題Scheme | Other | |||||||||||
主題 | Umbilical Care | |||||||||||
キーワード | ||||||||||||
言語 | en | |||||||||||
主題Scheme | Other | |||||||||||
主題 | Natural Drying Method | |||||||||||
キーワード | ||||||||||||
言語 | en | |||||||||||
主題Scheme | Other | |||||||||||
主題 | Alcohol Disinfection | |||||||||||
キーワード | ||||||||||||
言語 | en | |||||||||||
主題Scheme | Other | |||||||||||
主題 | Omphalitis | |||||||||||
キーワード | ||||||||||||
言語 | en | |||||||||||
主題Scheme | Other | |||||||||||
主題 | Umbilical Cord Shedding | |||||||||||
資源タイプ | ||||||||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||
資源タイプ | departmental bulletin paper | |||||||||||
著者 |
柚木, 理恵
× 柚木, 理恵
× 神徳, 備子
× 江藤, 宏美
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著者別名 | ||||||||||||
姓名 | YUZUKI, Rie | |||||||||||
言語 | en | |||||||||||
著者別名 | ||||||||||||
姓名 | KOTOKU, Yoriko | |||||||||||
言語 | en | |||||||||||
著者別名 | ||||||||||||
姓名 | ETO, Hiromi | |||||||||||
言語 | en | |||||||||||
その他のタイトル | ||||||||||||
その他のタイトル | Natural drying versus alcohol for umbilical cord care among newborns | |||||||||||
言語 | en | |||||||||||
抄録 | ||||||||||||
内容記述タイプ | Abstract | |||||||||||
内容記述 | 目的:新生児の臍帯ケアについて,自然乾燥法およびアルコール消毒法における臍炎の発症,細菌定着,臍帯脱落および臍部の状態変化を明らかにし,適切な臍帯ケアを検討する.方法:生後 7 日未満の新生児(早期新生児)を対象に,臍帯ケア(自然乾燥法とアルコール消毒法)後の臍帯を観察し,臍周囲の黄色ブドウ球菌とB群レンサ球菌(GBS),CNS(コアグラーゼ陰性ブドウ球菌),表皮ブドウ球菌,腸球菌を採取,菌の同定と菌数の測定を行った.結果:両群各50人が分析対象となった.臍炎は全例で発症せず,黄色ブドウ球菌とGBS陽性は生後 2 日・4 日ともに自然乾燥群で認められ,アルコール消毒群ではみられなかった.CNS陽性者は自然乾燥群で有意に多かった.入院中の臍帯脱落の総数はアルコール群で有意に多かったが,その平均日数を比べると両群間に差はみられなかった.生後 2 日・ 4 日の臍部の発赤,腫脹,膿,臭気,出血には両群間で有意差はなかったが,アルコール消毒群では生後 4 日の浸出液が有意に多く,臍帯が乾燥している新生児の割合が有意に少なかった.結論:新生児の臍帯ケアとして,自然乾燥法とアルコール消毒法において臍炎の発症や臍帯脱落日数に差はなかった.日本で実施される臍帯ケアにおいては,他の先進国同様に感染徴候がない場合は自然乾燥法でも問題ない可能性が高いと考える. | |||||||||||
言語 | ja | |||||||||||
抄録 | ||||||||||||
内容記述タイプ | Abstract | |||||||||||
内容記述 | Objective: Regarding umbilical care for newborns, we examined umbilical cord state changes such as the onset of omphalitis,bacterial colonization and umbilical cord dropout days to compare the natural drying and alcohol disinfection methods. Methods: We conducted an observation study to investigate umbilical care (natural drying method and alcohol disinfection method) carried out in early newborn (<7days) routines. Bacteria around the umbilicus of the newborn were collected with a swab,the bacteria were identified, and the number of bacteria was measured. Results: Fifty newborns in each group were analyzed. There was no neonatal omphalitis developed in either group. Newborn S.aureus and GBS were positive in the natural drying group at 2 and 4 days of age,while not in the alcohol disinfection group. The positive responders of CNS (Coagulase-Negative Staphylococci) were significantly more in the dry cord group than in the alcohol disinfection group on 2 and 4 days after birth. The average number of days for umbilical cord dropout did not differ between the two groups. On the 2nd and 4th postnatal days, there was no significant difference between the dry cord group and the alcohol disinfection group for reddening, swelling, pus, odour and bleeding. As for leachate, significantly more occurred on the 4th day after birth in the alcohol disinfection group. In addition, in the alcohol disinfection group, there were significantly fewer newborns with dry umbilical cords. Conclusions: There was no onset of omphalitis and delayed umbilical cord dropout in both the natural drying and alcohol disinfection groups. The findings provide that in neonatal umbilical care in Japan, like in other developed countries, alcohol disinfection is not necessarily when there is no sign of infection. |
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言語 | en | |||||||||||
書誌情報 |
ja : 保健学研究 en : Health Science Research 巻 36, p. 9-19, 発行日 2023-12 |
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ISSN | ||||||||||||
収録物識別子タイプ | PISSN | |||||||||||
収録物識別子 | 18814441 | |||||||||||
EISSN | ||||||||||||
収録物識別子タイプ | EISSN | |||||||||||
収録物識別子 | 27589838 | |||||||||||
書誌レコードID | ||||||||||||
収録物識別子タイプ | NCID | |||||||||||
収録物識別子 | AA12200909 | |||||||||||
著者版フラグ | ||||||||||||
出版タイプ | VoR | |||||||||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||
出版者 | ||||||||||||
言語 | ja | |||||||||||
出版者 | 長崎大学大学院医歯薬学総合研究科保健学専攻 | |||||||||||
出版者別言語 | ||||||||||||
en | ||||||||||||
Master Course of Health Sciences Graduate School of Biomedical Sciences Nagasaki University | ||||||||||||
sortkey | ||||||||||||
02 | ||||||||||||
引用 | ||||||||||||
内容記述タイプ | Other | |||||||||||
内容記述 | 保健学研究, 36, pp.9-19; 2023 | |||||||||||
言語 | ja |