幸运蛋蛋

室温过低对早产儿暖箱影响的观察

FABUZHE: FABUSHIJIAN:2016-09-13 LIULAN8308CI

YINGERPEIYANGXIANG(NUANXIANG)DUIZAOCHANER、DITIZHONGER、XINSHENGERYINGZHONGZHENGJIBINGWEIERPEIYANGJIZHILIAOXIAOGUOXIANZHU,YIZAIGEJIYIYUANZHONGGUANGFANYINGYONG。WOKEDUI1999NIAN2YUEZHI2002NIAN2YUE3NIANZHONGDONGJISHOUZHIDE132LITIAOJIANXIANGJINDEZAOCHANER,ZAIBUTONGSHIWENHUANJINGXIAJINXINGNUANXIANGPEIYANG,DUILIAOXIAOJINXINGDUIZHAOGUANCHA。BAOGAORUXIA。

幸运蛋蛋 1、LINCHUANGZILIAO

1.1      YIBANZILIAO

SUOYOUSHIYANHUANERJUNJINGGUOYANGESHAIXUAN,WUJIXING,WUYINGZHONGJIQITAJIBINGFASHENG。YIRUYUANCIXUANSUIJIHUAYUANZEFENWEIKONGDIAOZU(DUIZHAOZU)HESHIWENZU(SHIYANZU)。KONGDIAOGONG68LI,NAN35LI,NV33LI;CHUSHENGSHITAILING203-257d 。PINGJUN231.4±12.2d;TIZHONG1320-2710g,,PINGJUN2243±87g;RUYUANSHIJIAN1/2-90h,PINGJUN6.6±2.2h。SHIWENZUGONG64LI,NAN33LI,NV31LI;CHUSHENGSHITAILING201±256d,PINGJUN231.6±12.6d;TIZHONG1420-2690g,PINGJUN2245±91g;RUYUANSHIJIAN1/3-78h,PINGJUN6.4±2.3h。LIANGZUHUANERJINGTONGJIXUECHULI,GEXIANGZHIBIAOCHAYIYUANJUNWUXIANZHUYIYI(P>0.05)。

幸运蛋蛋 1.2      FANGFA

幸运蛋蛋 1.2.1       YIQI

幸运蛋蛋 LIANGZUJUNCAIYONGNINGBOCHANYP-90(A)XINGYINGERPEIYANGXIANG。

1.2.2       FANGFA

KONGDIAOZUSHIWENKONGZHIZAI24℃-26℃ZHIJIAN,SHIWENZUSHIWENKONGZHI10℃-17℃ZHIJIAN。LIANGZUHUANERJUNWEILUOTIZHIYUNUANXIANGNEI,ANBIAO1JINXINGPEIYANG,NUANXIANGSHIDUKONGZHIZAI55%-65%ZHIJIAN,LIANGZUZHICHIZHILIAOJIFASHENGQITABINGFAZHENGSHIZHILIAOFANGANXIANGTONG。CHUXIANGBIAOZHUN:FANTIZHONGZENGDA2000gZUOYOUHUOYISHANG,YIBANQINGKUANGLIANGHAO.3hYONGNAIPINGWEINAIYICI,XISHUNLIANGHAO,TIZHONGJIXUSHANGSHENGZHEKECHUNUANXIANG。DUILIANGZUDEYINGZHONGFASHENGLVJINUANXIANGPEIYANGTIANSHUJINXINGTONGJI。

幸运蛋蛋 1.3      JIEGUO


BIAO1 BUTONGCHUSHENGTIZHONGZAOCHANERSHIZHONGWENDU

CHUSHENGTIZHONG(kg)

35℃

34℃

33℃

32℃

10

TOU10TIAN→

10天后→

3ZHOUHOU→

5ZHOU

1.5

头10天→

10TIANHOU→

4周
2.0

头2天→

2天后→ 3周
2.5

幸运蛋蛋 TOU2TIAN→

2天后

表2 两组早产儿发生硬肿数(率)与培养天数(x±s)比较

项目
空调组
室温组
检验方法
p值
n
64
68


硬肿发生率
5(7.35)
13(20.31)
x2 =4.70 <0.05
培养天数
15.4±2.1
16.9±2.6 t=3.66 <0.01


幸运蛋蛋 KONGDIAOZUZHONGYOU5LIFASHENGYINGZHONG,JUNWEIQINGDU,QIEHENKUAIHAOZHUAN,PINGJUNPEIYANGTIANSHU15.4±2.1d。SHIWENZUYOU13LIFASHENGYINGZHONG,YUKONGDIAOZUCHAYIYOUXIANZHUYIYI(X2=4.70,P<0.05),QIEYOU2LISIWANG,PINGJUNPEIYANGTIANSHU16.9±2.6d,YUKONGDIAOZUCHAYIYOUFEICHANGXIANZHUYIYI(t=3.66,P<0.01)。JIANBIAO2。

幸运蛋蛋 BIAO1 BUTONGCHUSHENGTIZHONGZAOCHANERSHIZHONGWENDU

幸运蛋蛋 2、TAOLUN

ZAOCHANERTIWENDIAOJIEKUNNANQIEBUWENDING,RONGYISHOUHUANJINGWENDUDEYINGXIANGERBIANHUA,YOUYINWEITIBIAOMIANJIXIANGDUIJIAODA,PIFUXUEGUANFENGFU,RONGYISANRE。RUZHOUWEIHUANJINGWENDUGUODI,SANREGUODUO,TIWENXIAJIANG,PIXIAZHIFANGNINGGUBIANYING。TONGSHIDIWENSHIMAOXIXUEGUANKUOZHANG,SHENTOUXINGZENGJIA,CHANSHENGYINGZHONG。SUIRANLIANGZUZHONGXIANGWEN、SHIDUJUNWUMINGXIANCHAYI,DANYOUYUYILIAOJIHULICAOZUO,SHIWENHEZHOUWEIDELIUDONGKONGQICHANGGANRAONUANXIANGWENDUDEWENDINGXING[1],SHIXIANGWENBUKEBIMIANDEDUANSHIJIANNEIXIAJIANG。JUGUONEILIUSHI[2]BAODAO,YINGJINLIANGBIMIANNUANXIANGWENDUTURANZENGGAOHUOJIANGDI,CIZHONGQINGKUANGKEYOUFAXIAOZAOCHANERHUXIZANTING,CONGERCHANSHENGBULIANGFANYING。SUOYIYINGJINLIANGZAIZHIYOUNUANXIANGDEFANGJIANANZHUANGKONGDIAOBAOCHIHESHISHIWEN。FANGZHINUANXIANGNEIDEHUANERBUQIANGDIAOBIXULUOTI,YIJIANSHAOZHENGFASANRE,YIWEICHIHUANJINGWENDINGXING[1],CONGERTIGAONUANXIANGPEIYANGXIAOGUO。

CANKAOWENXIAN

幸运蛋蛋 1、Short MA-A comparison of temperature in VLBW infants swaddled versus unswaddled in a double-walled incubator in skin control mode.Neonatal-Netw,1998,17(13):25

2、LIURUIXIA ZAOCHANERNUANXIANGBAOWENJIJINGMAISHUYE ZHONGHUAERKEZAZHI 2000,15(12):722

ZHU:WENZHANGZHAIZI《ZHONGGUOJICENGYIYAO》2003NIAN10JUAN8QI