CAJ | 학술논문

目的：探讨人工气道吸入气体温度对极低体重儿核心体温的影响。方法：将我院符合入组标准的45例建立人工气道的极低体重儿随机等分为3组,A组吸入气体温度设置为36.5~37.3℃,B组吸入气体温度设置为34.5~35℃,C组吸入气体温度设置为38.5~39℃。均以感应器测定的到达患儿口边的气体温度为设定温度,每2 h测量3组患儿体温(肛温)1次并记录。结果：A组患儿核心温度维持在中性温度,B组患儿核心温度低于中性温度,C组则高于中性温度。结论：极低体重儿建立人工气道时将吸入气体温度调到36.5~37.3℃可使极低体重儿的核心体温度维持在中性温度,同时降低耗氧量、减少蒸发散热,降低新陈代谢,减少并发症。
목적：탐토인공기도흡입기체온도대겁저체중인핵심체온적영향。방법：장아원부합입조표준적45례건립인공기도적겁저체중인수궤등분위3조,A조흡입기체온도설치위36.5~37.3℃,B조흡입기체온도설치위34.5~35℃,C조흡입기체온도설치위38.5~39℃。균이감응기측정적도체환인구변적기체온도위설정온도,매2 h측량3조환인체온(항온)1차병기록。결과：A조환인핵심온도유지재중성온도,B조환인핵심온도저우중성온도,C조칙고우중성온도。결론：겁저체중인건립인공기도시장흡입기체온도조도36.5~37.3℃가사겁저체중인적핵심체온도유지재중성온도,동시강저모양량、감소증발산열,강저신진대사,감소병발증。
Objective:To study the effects of the temperature of inspiratory gas with artificial airway on core temperature in very low birth weight infants. Methods:45 very low birth weight infants with artificial airway were randomly divided into three groups according to the temperature of inspiratory gas. The temperature of inspiratory gas was 36. 5-37. 3℃ in the group A,34. 5-35℃ in the group B,and 38. 5-39℃ in the group C. The gas temperature at the side of patents′mouth as the setting temperature was dicided by the inductor. The rectal temperature of the infants were recorded every 2 hours. Results:The core temperature in the infant was maintained at neutral temperature when the setting temperature was 36. 5-37. 3℃(group A)(P<0. 05). The core tem-perature was lower than neutral temperature when the setting temperature was 34. 5-35℃(group B). The core temperature was higher than neutral temper-ature when the setting temperature was 38. 5-39 ℃(group C). Conclusion:The core temperature in very low birth weight infant with artificial airway could be maintained at neutral temperature when the temperature of inspiratory gas was 36. 5-37. 3 ℃. At the same time,It could decrease oxygen consumption, the loss of evaporative heat,metabolism,and reduce complication.