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目的:探讨出生后不同时间开始母婴皮肤接触对足月新生儿的影响。方法:将足月自然分娩新生儿90例随机分为三组各30例,早接触组(SSC组)新生儿出生后5 min实施母婴皮肤接触60 min,延迟接触组(D组)出生后30 min再行母婴皮肤接触60 min,对照组(C组)出生后120 min内不行母婴皮肤接触。监测出生后2 h内新生儿啼哭持续时间、新生儿心率、体温变化及唾液皮质醇水平。结果:出生后5 min内行皮肤早接触较30 min后再行皮肤接触更有利于促进新生儿心率平稳和体温恢复,减少新生儿啼哭时间,降低唾液皮质醇水平,三组比较差异有统计学意义(P<0.05)。结论:出生后尽早给予母婴皮肤接触能显著降低新生儿出生早期的应激反应,更好地维持新生儿生命体征的稳定,使新生儿处于更加安静舒适的状态。
Aims: To investigate the effects of maternal and fetal skin contact on term newborn infants at different times after birth. Methods: Ninety newborn infants born in full-term spontaneous delivery were randomly divided into three groups of 30 cases. The newborn infants in the early exposure group (SSC group) were exposed to the skin for 60 minutes 5 minutes after birth and the delayed exposure group (D group) After 30 min, the skin of the mother and baby was exposed for 60 minutes, while the control group (C) was exposed to the skin of the mother and baby within 120 minutes after birth. Neonatal crying duration, neonatal heart rate, body temperature and salivary cortisol levels were monitored within 2 h after birth. Results: Early contact of skin within 5 min after birth was better than that of skin contact after 30 min, which was more conducive to the promotion of stable heart rate and recovery of body temperature, decreased neonatal crying time and decreased salivary cortisol level, with significant difference between the three groups (P <0.05). Conclusion: Early postnatal mother-infant skin contact can significantly reduce the early neonatal stress response, to better maintain the stability of neonatal vital signs, the newborn in a more quiet and comfortable state.