CAJ | 학술논문

目的：初步探讨“长颈鹿”多功能培养箱在超低出生体重儿中的应用效果。方法对2013年入住我院新生儿监护病房（NICU）经“长颈鹿”多功能培养箱治疗的超低出生体重儿32例（试验组）与2012年入住我院NICU采用普通温箱治疗的超低出生体重儿15例（对照组）生后体重变化的幅度、医院感染发生率及颅内出血发生率等进行比较分析。结果试验组患儿生理性体重下降幅度较小，体重增长速度较快，缩短了住院天数，与对照组比较差异有统计学意义（P<0.05）；试验组医院感染发生率为6.25%，对照组医院感染发生率为6.67%，2组比较差异无统计学意义（P>0.05）；试验组颅内出血发生率为46.88%，对照组颅内出血发生率为80.00%，2组比较差异有统计学意义（P<0.05）。结论在超低出生体重儿的救治中可优先使用“长颈鹿”多功能培养箱，能够有效降低超低出生体重儿生理性体重下降的幅度，加快体重增长的速度，缩短住院天数，减少超低出生体重儿颅内出血发生率，同时亦不会增加医院感染的发生率，值得临床推广。
목적：초보탐토“장경록”다공능배양상재초저출생체중인중적응용효과。방법대2013년입주아원신생인감호병방（NICU）경“장경록”다공능배양상치료적초저출생체중인32례（시험조）여2012년입주아원NICU채용보통온상치료적초저출생체중인15례（대조조）생후체중변화적폭도、의원감염발생솔급로내출혈발생솔등진행비교분석。결과시험조환인생이성체중하강폭도교소，체중증장속도교쾌，축단료주원천수，여대조조비교차이유통계학의의（P<0.05）；시험조의원감염발생솔위6.25%，대조조의원감염발생솔위6.67%，2조비교차이무통계학의의（P>0.05）；시험조로내출혈발생솔위46.88%，대조조로내출혈발생솔위80.00%，2조비교차이유통계학의의（P<0.05）。결론재초저출생체중인적구치중가우선사용“장경록”다공능배양상，능구유효강저초저출생체중인생이성체중하강적폭도，가쾌체중증장적속도，축단주원천수，감소초저출생체중인로내출혈발생솔，동시역불회증가의원감염적발생솔，치득림상추엄。
Objective To investigate the application of GIRAFFE multifunctional training box in extremely low birth weight infants. Methods The experimental group includes 32 inpatient cases of extremely low birth weight infants in 2013 in NICU department of Yancheng maternal and children health hospital who were under the treatment of GIRAFFE multifunctional training box. The control group includes 15 inpatient cases of extremely low birth weight infants in 2012 that were under the tratment of ordinary temperature box. By analyzing retrospectively, we compare weight change amplitude after birth,nosocomial infection incidence and intracranial hemorrhage incidence of two groups. Results Experimental group shows the following features. Infants lose less weight and gain weight faster with fewer hospitalization days(P<0.05). The incidence of nosocomial infection of experimental group is 6.25%while that of control group is 6.67% (P<0.05). The incidence of intracranial hemorrhage of experimental group is 46.88% while that of control group is 80.00%. P<0.05. Conclusions In the treatment of extremely low birth weight infants, we can give priority to the use of "GIRAFFE"multifunctional training box. It can effectively decrease the weight reduction of extremely low birth weight infants ,increase the growth rate of weight,shorten the hospitalization days, reduce the incidence of intracranial hemorrhage as well as control the incidence of nosocomial infection.