塑料袋可预防早产儿出生时体温过低。

Vinyl bags prevent hypothermia at birth in preterm infants.

作者信息

Mathew Bobby, Lakshminrusimha Satyan, Cominsky Katherine, Schroder Eileen, Carrion Vivien

机构信息

Division of Neonatology, Department of Pediatrics, Women and Children's Hospital of Buffalo, Buffalo, USA.

出版信息

Indian J Pediatr. 2007 Mar;74(3):249-53. doi: 10.1007/s12098-007-0039-5.

DOI:10.1007/s12098-007-0039-5

PMID:17401263

Abstract

OBJECTIVE

To compare the effect of standard care vs. the use of vinyl bags (Vi-Drape (R) isolation bag) on admission temperature in extremely premature infants < or = 28 weeks gestational age at birth.

METHODS

Twenty seven premature infants with similar baseline characteristics were assigned and placed in vinyl bags (n=14) immediately following delivery without drying or received standard care (controls, n=13), including drying and placement under a radiant warmer. Axillary temperature was recorded on admission to the neonatal unit.

RESULTS

The average temperature in the vinyl bag group was significantly higher (35.9 +/- 0.13 vs 34.9 +/- 0.24 degrees C, p=0.002). Although the cord blood pH was similar between the two groups (7.33+0.02 in the vinyl bag group and 7.33 +/- 0.01 in the control group), the worst pH in the first 6 hours of life was significantly lower in the control group (7.32 +/- 0.02 vs 7.22 +/- 0.04, p=0.03). There was a significant increase in maximal oxygen requirement during the first 24 h in the control group (82.9 vs 43.3% in the vinyl bag group, p=0.0004).

CONCLUSION

Vinyl bags prevent heat loss and are a simple and effective intervention in preventing hypothermia in the delivery room and early acidosis in premature infants.

摘要

目的

比较标准护理与使用乙烯袋（Vi-Drape®隔离袋）对出生时胎龄≤28周的极早产儿入院体温的影响。

方法

27例具有相似基线特征的早产儿被分配，其中14例在分娩后立即放入乙烯袋中，不进行擦干处理，另外13例接受标准护理（对照组），包括擦干并置于辐射保暖台上。记录新生儿病房入院时的腋温。

结果

乙烯袋组的平均体温显著更高（35.9±0.13℃ vs 34.9±0.24℃，p = 0.002）。虽然两组脐血pH值相似（乙烯袋组为7.33 + 0.02，对照组为7.33±0.01），但对照组出生后前6小时最差pH值显著更低（7.32±0.02 vs 7.22±0.04，p = 0.03）。对照组出生后前24小时最大氧气需求量显著增加（乙烯袋组为43.3%，对照组为82.9%，p = 0.0004）。