CAJ | 학술논문

目的探讨智能型碳纤维婴儿保暖包被在极低出生体重儿出生后转运环节中的应用效果及对入室体温和预后产生的影响.方法将125例极低出生体重儿按照随机原则分为研究组62例和对照组63例,对照组采取传统的保暖措施,即新生儿出生后立即置于辐射保温台上,用预热的毛巾擦干身体,移去湿巾,戴帽,护理完毕后用传统婴儿包被包裹送往NICU,研究组在常规保暖的基础上使用智能型碳纤维婴儿保暖包被,比较两组极低出生体重儿入室时的直肠温度和住院期间并发症及转归情况.结果研究组入室体温低于35℃和35 ～ 36℃者分别为0,19例均低于对照组(11,31例),两组比较差异有统计学意义(P＜0.01);研究组入室中位体温36.3℃,明显高于对照组35.5℃,两组比较差异有统计学意义(Z=31.13,P＜0.05);研究组极低出生体重儿入室时的pH值和BE值比对照组高,差异有统计学意义(x2值分别为4.18,5.01;P＜0.05);研究组低血糖发生率1.6％ (1/62)、颅内出血发生率14.5％(9/62),对照组分别为12.7％(8/63),30.2％ (19/63),两组比较差异有统计学意义(x2值分别为5.57,4.40;P＜0.05);研究组住院天数中位数39 d,对照组为46 d,两组比较差异有统计学意义(Z=4.428,P＜0.05);两组病死率比较差异无统计学意义(x2=0.573,P＞0.05).在研究过程中研究组未发生体温过高(体温＞37.5℃)及皮疹等不良反应.结论使用智能型婴儿保暖被可降低极低出生体重儿入室低体温的发生率,降低其并发症的发生,缩短住院日,适合极低出生体重儿的转运.
목적 탐토지능형탄섬유영인보난포피재겁저출생체중인출생후전운배절중적응용효과급대입실체온화예후산생적영향.방법 장125례겁저출생체중인안조수궤원칙분위연구조62례화대조조63례,대조조채취전통적보난조시,즉신생인출생후립즉치우복사보온태상,용예열적모건찰간신체,이거습건,대모,호리완필후용전통영인포피포과송왕NICU,연구조재상규보난적기출상사용지능형탄섬유영인보난포피,비교량조겁저출생체중인입실시적직장온도화주원기간병발증급전귀정황.결과 연구조입실체온저우35℃화35 ～ 36℃자분별위0,19례균저우대조조(11,31례),량조비교차이유통계학의의(P＜0.01);연구조입실중위체온36.3℃,명현고우대조조35.5℃,량조비교차이유통계학의의(Z=31.13,P＜0.05);연구조겁저출생체중인입실시적pH치화BE치비대조조고,차이유통계학의의(x2치분별위4.18,5.01;P＜0.05);연구조저혈당발생솔1.6％ (1/62)、로내출혈발생솔14.5％(9/62),대조조분별위12.7％(8/63),30.2％ (19/63),량조비교차이유통계학의의(x2치분별위5.57,4.40;P＜0.05);연구조주원천수중위수39 d,대조조위46 d,량조비교차이유통계학의의(Z=4.428,P＜0.05);량조병사솔비교차이무통계학의의(x2=0.573,P＞0.05).재연구과정중연구조미발생체온과고(체온＞37.5℃)급피진등불량반응.결론 사용지능형영인보난피가강저겁저출생체중인입실저체온적발생솔,강저기병발증적발생,축단주원일,괄합겁저출생체중인적전운.
Objective To explore the application effect of "intelligent carbon fiber baby quilt" on the admission body temperature and complication in infants with verylowbirth weight after birthduring the transport.Methods One hundred twenty-five infants with verylowbirth weight from May 2011 to April 2012 were randomly divided into the experimental group (n =62) and the control group (n =63).The control group received the traditional warm measures including immediately laying the newborn infants in radiant heat table after birth,toweling off with the preheating towel,removing the wet towel,putting on hat,sending the infants wrapped with traditional packet to the NICU after nursing,and the experimental group received the "intelligent carbon fiber baby quilt" on the basis of traditional warm measures.The rectal temperature,the occurrence of complications and prognosis during hospitalization were compared in two groups.Results The cases of admission hypothermia including less than 35 ℃ and 36 ℃ were respectively 0,19,in the experimental group,and were lower than 11,31 in the control group,and the difference was statistically significant (P ＜ 0.01).The median of admission body temperature was 36.3 ℃ in the experimental group,and were significantly higher than 35.5℃ in the control group,and the difference was statistically significant (Z =31.13,P ＜ 0.05).The pH value and BE value in the experimental group were higher than those in the control group at the admission,and the differences were statistically significant (x2 =4.18,5.01,respectively; P ＜ 0.05).The incidence of hypoglycemia and intracranial hemorrhage were respectively 1.6％ (1/62),14.5％ (9/62) in the experimental group,and were 12.7％ (8/63),30.2％ (19/63) in the control group,and the differences were statistically significant (x2 =5.57,4.40,respectively;P ＜ 0.05).The median of the days of hospitalization was 39 d in the experimental group,and was 46 d in the control group,and the difference was statistically significant (Z =4.428,P ＜0.05).No difference was found in the mortality in two groups (x2 =0.573,P ＞ 0.05).Hyperthermia (body temperature ＞ 37.5 ℃) and rash and the other adverse reaction in the experimental group did not happen in the course of the study.Conclusions The application of " intelligent carbon fiber baby quilt" in infants with verylowbirth weight can decrease the incidence of admission hypothermia,reduce the occurrence of complications,and shorten the days of hospitalization,and which is suitable for transportation of infants with verylowbirth weight.