早产儿实施鸟巢式护理的临床研究(1)
摘要：目的 研究早产儿实施鸟巢式护理的临床价值。方法 将2013年1月～2014年1月降生的44例早产儿随机分为研究组和对照组，每组22例。对照组实施基线护理及新生儿常规护理，以常规浴巾折叠法包裹新生儿。研究组实施基线护理及新生儿常规护理，以鸟巢式护理法用浴巾实施新生儿包裹。对比两组新生儿24h睡眠时间、血氧饱和度、体位变化幅度及出暖箱时间。同时观察和统计两组新生儿暖箱保温期间的的呼吸暂停发生情况。结果 研究组患儿24h睡眠时间，血氧饱和度、体温波动幅度及出暖箱时间均显著优于对照组(P<0.05)。在未出暖箱期间，研究组1例发生呼吸暂停，发生率为4.55%；对照组8例发生呼吸暂停，发生率为36.36%。研究组呼吸暂停发生率显著低于对照组(P<0.05)。结论 早产儿实施鸟巢式护理可有效保持早产新生儿的体温，有助于为其提供良好的新陈代谢及生长发育环境，促进其生命体征的稳定。
关键词：新生儿；早产儿；鸟巢式护理
Abstract：Objective To study the clinical value of bird nest nursing in premature infants. Methods 44 premature infants born in June 2012 in September were randomly divided into study group and control group， each group of 22 people. Control group received routine nursing care and neonatal baseline， using conventional towel folding package of newborn. The research group received baseline nursing and routine neonatal care， to the bird nest type nursing method for the implementation of neonatal bath towel wrapped. The 24h sleep duration， blood oxygen saturation， the change of body position and the time of the warm box were compared between the two groups. At the same time observation and statistics of the two groups of neonatal warm box during the period of breathing and apnea occurred. Results 24h sleep duration， blood oxygen saturation， temperature fluctuation range and the temperature of the warm box were significantly higher in the study group than in the control group (P < 0.05). In the absence of the warm box， the study group of 1 cases of respiratory apnea， the incidence was 8； the control group of 4.55% people occurred apnea， the occurrence rate was 36.36%. The incidence of apnea was significantly lower in the study group than in the control group (P < 0.05). Conclusion The implementation of bird nest in premature infants can effectively maintain the body temperature， and it can provide a good metabolic and growth environment， and promote the stability of the vital signs.
, 百拇医药
Key words：Neonate； Premature infant； Bird nest type nursing
在临床上，胎儿一旦在37足w之前即被产妇以各种方式娩出，即被定性为早产儿[1-3]。早产儿的首要特点就是体质量显著偏低，而且合并有多脏器功能发育不全、免疫力低下，因而其出生后很容易继发一系列严重并发症，体现在呼吸系统最常见的疾病为吸入性肺炎[4]，而体现在消化系统则主要为喂食耐受性不良或坏死性肠炎等[5]。因此，临床新生儿科领域必须对其实施相应的临床干预，以完善其生存环境，给予其器官功能代偿性治疗。而对于早产儿的临床护理而言，最主要的一点是为新生儿提供有利于其生长发育的早期生存环境。为此，我院近年来开展了早产儿鸟巢式护理的临床专项研究，以期模拟早产儿的子宫内环境而促进其生长发育，效果确切，现报道如下。
1资料与方法
1.1一般资料 本次研究经我院伦理委员会授权实施，甄选病例均为我院2013年1月～2014年1月降生的44例早产儿。所有患儿其生母孕龄在32～36w。患儿体质量在1500～2000g之间。同时排除产伤、肺透明膜病、脑出血，坏死性肠炎、先天性脏器功能缺陷、生母有严重妊娠期并发症等不适宜纳入研究的情况。所有患儿家属均表示同意参加受试，签署了知情同意书。将所有患儿随机分为研究组和对照组，每组22例。两组一般资料相比而言无显著差异(P>0.05)，具有可比性，见表1。, 百拇医药(陈羽)
关键词：新生儿；早产儿；鸟巢式护理
Abstract：Objective To study the clinical value of bird nest nursing in premature infants. Methods 44 premature infants born in June 2012 in September were randomly divided into study group and control group， each group of 22 people. Control group received routine nursing care and neonatal baseline， using conventional towel folding package of newborn. The research group received baseline nursing and routine neonatal care， to the bird nest type nursing method for the implementation of neonatal bath towel wrapped. The 24h sleep duration， blood oxygen saturation， the change of body position and the time of the warm box were compared between the two groups. At the same time observation and statistics of the two groups of neonatal warm box during the period of breathing and apnea occurred. Results 24h sleep duration， blood oxygen saturation， temperature fluctuation range and the temperature of the warm box were significantly higher in the study group than in the control group (P < 0.05). In the absence of the warm box， the study group of 1 cases of respiratory apnea， the incidence was 8； the control group of 4.55% people occurred apnea， the occurrence rate was 36.36%. The incidence of apnea was significantly lower in the study group than in the control group (P < 0.05). Conclusion The implementation of bird nest in premature infants can effectively maintain the body temperature， and it can provide a good metabolic and growth environment， and promote the stability of the vital signs.
, 百拇医药
Key words：Neonate； Premature infant； Bird nest type nursing
在临床上，胎儿一旦在37足w之前即被产妇以各种方式娩出，即被定性为早产儿[1-3]。早产儿的首要特点就是体质量显著偏低，而且合并有多脏器功能发育不全、免疫力低下，因而其出生后很容易继发一系列严重并发症，体现在呼吸系统最常见的疾病为吸入性肺炎[4]，而体现在消化系统则主要为喂食耐受性不良或坏死性肠炎等[5]。因此，临床新生儿科领域必须对其实施相应的临床干预，以完善其生存环境，给予其器官功能代偿性治疗。而对于早产儿的临床护理而言，最主要的一点是为新生儿提供有利于其生长发育的早期生存环境。为此，我院近年来开展了早产儿鸟巢式护理的临床专项研究，以期模拟早产儿的子宫内环境而促进其生长发育，效果确切，现报道如下。
1资料与方法
1.1一般资料 本次研究经我院伦理委员会授权实施，甄选病例均为我院2013年1月～2014年1月降生的44例早产儿。所有患儿其生母孕龄在32～36w。患儿体质量在1500～2000g之间。同时排除产伤、肺透明膜病、脑出血，坏死性肠炎、先天性脏器功能缺陷、生母有严重妊娠期并发症等不适宜纳入研究的情况。所有患儿家属均表示同意参加受试，签署了知情同意书。将所有患儿随机分为研究组和对照组，每组22例。两组一般资料相比而言无显著差异(P>0.05)，具有可比性，见表1。, 百拇医药(陈羽)