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目的比较塑料薄膜包裹转运早产儿与传统转运对体温的影响。方法将极低出生体质量儿与超低出生体质量儿各140例,分别分为观察组与对照组各70例。对照组采用常规方法包裹转运,观察组采用塑料薄膜包裹,转运到新生儿病房后记录转运时间、体温与14 d内并发症情况。结果两组包裹时间差异无统计学意义(P>0.05);进入NICU时与进入NICU后1 h,观察组早产儿体温均高于对照组(P<0.01或P<0.05);进入NICU后2 h,超低出生体质量早产儿观察组体温高于对照组(P<0.01);观察组新生儿脑室内出血与脑室周围白质软化的发生率低于对照组(P<0.05)。结论应用塑料薄膜包裹法可防止早产儿低体温,利于早产儿的生长发育。
OBJECTIVE: To compare the effects of plastic film wrapped transport premature infants and traditional transport on body temperature. Methods 140 cases with very low birth weight and low birth weight were divided into observation group and control group with 70 cases each. The control group was routinely wrapped and transported. The observation group was wrapped with plastic film and transfered to the neonatal ward to record the transit time, body temperature and complications within 14 days. Results There was no significant difference in the parcel time between the two groups (P> 0.05). The body temperature of the preterm infants in the observation group was significantly higher than that in the control group (P <0.01 or P <0.05) 1 h after entering the NICU and 1 h after entering the NICU. h. The body temperature of observation group with ultra-low birth weight preterm infants was significantly higher than that of the control group (P <0.01). The incidence of neonatal intraventricular hemorrhage and periventricular white matter softening in the observation group was lower than that of the control group (P <0.05). Conclusion The application of plastic film wrapping method can prevent hypothermia in premature infants and benefit the growth and development of premature infants.