Agren Johan, Sjörs Gunnar, Sedin Gunnar
Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
J Pediatr. 2006 May;148(5):613-7. doi: 10.1016/j.jpeds.2005.11.027.
To test the hypothesis that the level of relative humidity (RH) in which preterm infants are nursed might influence their postnatal skin maturation.
In 22 preterm infants (GA 23-27 weeks), transepidermal water loss (TEWL) was determined at postnatal ages (PNA) of 0, 3, 7, 14, and 28 days. At a PNA of 7 days, the infants were randomized to care at either 50% or 75% RH.
TEWL decreased at a slower rate in infants nursed at the higher RH. At a PNA of 28 days, TEWL was about twice as high in infants nursed at 75% RH (22 +/- 2 g/m2 h) than in those nursed at 50% RH (13 +/- 1 g/m2 h; P < .001).
The results indicate that the level of RH influences skin barrier development, with more rapid barrier formation in infants nursed at a lower RH. The findings have an impact on strategies for promoting skin barrier integrity in extremely preterm infants.
检验以下假设,即护理早产儿的相对湿度(RH)水平可能会影响其出生后皮肤的成熟。
对22例早产儿(孕龄23 - 27周)在出生后0、3、7、14和28天测定经表皮水分流失(TEWL)。在出生后7天时,将婴儿随机分为在50%或75%相对湿度环境下护理。
在较高相对湿度环境下护理的婴儿,TEWL下降速度较慢。在出生后28天时,在75%相对湿度环境下护理的婴儿的TEWL(22±2 g/m²·h)约为在50%相对湿度环境下护理的婴儿(13±1 g/m²·h)的两倍(P <.001)。
结果表明,相对湿度水平会影响皮肤屏障的发育,在较低相对湿度环境下护理的婴儿皮肤屏障形成更快。这些发现对促进极早产儿皮肤屏障完整性的策略具有影响。