早产儿护理过程中的体温不稳定。
Temperature instability during nursing procedures in preterm neonates.
作者信息
Mok Q, Bass C A, Ducker D A, McIntosh N
机构信息
Department of Child Health, St. George's Hospital, London.
出版信息
Arch Dis Child. 1991 Jul;66(7 Spec No):783-6. doi: 10.1136/adc.66.7_spec_no.783.
Abstract
The temperature changes associated with total care nursing procedures were studied on 249 occasions during the first week of life in 25 preterm infants weighing less than 1500 g, 16 of whom weighed less than 1100 g. Large drops in both central and peripheral temperature occurred, with widening of the central-peripheral temperature gap. Recovery of the temperature after the total care procedure took up to two hours. These routine nursing procedures are carried out every four to six hours. They cause an important alteration in the environmental temperature with consequent thermal stress to the infants that may influence ultimate outcome.
摘要
对25名体重不足1500克的早产儿出生后第一周内的249次全护理操作相关的体温变化进行了研究，其中16名婴儿体重不足1100克。中央体温和外周体温均出现大幅下降，中央-外周体温差增大。全护理操作后体温恢复耗时长达两小时。这些常规护理操作每四至六小时进行一次。它们会导致环境温度发生重要变化，从而给婴儿带来热应激，这可能会影响最终结果。
相似文献
1
Temperature instability during nursing procedures in preterm neonates.早产儿护理过程中的体温不稳定。
Arch Dis Child. 1991 Jul;66(7 Spec No):783-6. doi: 10.1136/adc.66.7_spec_no.783.
2
Thermal stability of premature infants during routine care under radiant warmers.辐射保暖箱常规护理下早产儿的热稳定性
Arch Dis Child Fetal Neonatal Ed. 1996 Mar;74(2):F137-8. doi: 10.1136/fn.74.2.f137.
3
Transition of the preterm infant to an open crib.早产儿向开放式婴儿床的过渡。
J Obstet Gynecol Neonatal Nurs. 1994 May;23(4):329-35. doi: 10.1111/j.1552-6909.1994.tb01884.x.
4
Optimizing the neonatal thermal environment.优化新生儿热环境。
Neonatal Netw. 2006 Jul-Aug;25(4):251-60. doi: 10.1891/0730-0832.25.4.251.
5
Comparison of two microenvironments and nurse caregiving on thermal stability of ELBW infants.两种微环境及护理对超低出生体重儿热稳定性的影响比较
Adv Neonatal Care. 2002 Jun;2(3):149-60. doi: 10.1053/adnc.2002.33543.
6
Thermoregulation in low-birth-weight infants.
NAACOGS Clin Issu Perinat Womens Health Nurs. 1992;3(1):25-33.
7
Research from the research utilization project: environmental temperatures.来自研究应用项目的研究：环境温度。
J Obstet Gynecol Neonatal Nurs. 1994 May;23(4):341-4. doi: 10.1111/j.1552-6909.1994.tb01886.x.
8
Electronic Health Record Documentation of Nursing Care Procedures and Change in Weight of Healthy, Moderately Premature Neonates.健康中度早产新生儿护理程序的电子健康记录文档及体重变化
Neonatal Netw. 2017 Nov 1;36(6):348-358. doi: 10.1891/0730-0832.36.6.348.
9
Incubator humidity: more than just something to sweat about!!培养箱湿度：可不只是值得为之出汗的事儿！！
Adv Neonatal Care. 2011 Jun;11(3):197-9. doi: 10.1097/ANC.0b013e31821d0074.
10
[Laser Doppler flowmetry in newborn infants with low birth weight. The effect of differences in humidity on peripheral circulation].[激光多普勒血流仪在低出生体重新生儿中的应用。湿度差异对周围循环的影响]
Klin Padiatr. 1992 Sep-Oct;204(5):359-61. doi: 10.1055/s-2007-1025372.
引用本文的文献
1
Thermoregulation, incubator humidity, and skincare practices in appropriate for gestational age ultra-low birth weight infants: need for more evidence.体温调节、保温箱湿度和适宜胎龄极低出生体重儿的皮肤护理：需要更多证据。
World J Pediatr. 2024 Jul;20(7):643-652. doi: 10.1007/s12519-024-00818-x. Epub 2024 Jun 12.
2
The Association Between Very Premature Infant Body Temperatures Over Time and Respiratory Care.早产儿随时间变化的体温与呼吸护理之间的关联。
Biol Res Nurs. 2021 Jul;23(3):331-340. doi: 10.1177/1099800420969865. Epub 2020 Oct 30.
3
Negative Temperature Differential in Preterm Infants Less Than 29 Weeks Gestational Age: Associations With Infection and Maternal Smoking.孕龄小于29周的早产儿负温度差：与感染及母亲吸烟的关联
Nurs Res. 2017 Nov/Dec;66(6):442-453. doi: 10.1097/NNR.0000000000000250.
4
Body temperature in premature infants during the first week of life: Exploration using infrared thermal imaging.早产儿出生后第一周的体温：使用红外热成像技术进行的探索
J Therm Biol. 2017 Oct;69:118-123. doi: 10.1016/j.jtherbio.2017.06.005. Epub 2017 Jun 15.
5
A pilot study to examine maturation of body temperature control in preterm infants.一项关于检查早产儿体温调节成熟度的试点研究。
J Obstet Gynecol Neonatal Nurs. 2013 Sep-Oct;42(5):562-74. doi: 10.1111/1552-6909.12240. Epub 2013 Sep 4.
6
Optimal body temperature in transitional extremely low birth weight infants using heart rate and temperature as indicators.以心率和体温为指标确定过渡期中极低出生体重儿的最佳体温
J Obstet Gynecol Neonatal Nurs. 2010 Jan-Feb;39(1):3-14. doi: 10.1111/j.1552-6909.2009.01087.x.
7
Extremely low birth weight preterm infants lack vasomotor response in relationship to cold body temperatures at birth.极低出生体重早产儿在出生时体温较低，血管运动反应不足。
J Perinatol. 2009 Dec;29(12):814-21. doi: 10.1038/jp.2009.99. Epub 2009 Jul 23.
8
Temperature control in very low birthweight infants during first five days of life.极低出生体重儿出生后前五天的体温控制
Arch Dis Child Fetal Neonatal Ed. 1997 Jan;76(1):F47-50. doi: 10.1136/fn.76.1.f47.
本文引用的文献
1
BODY TEMPERATURE AND SURVIVAL OF PREMATURE INFANTS.早产儿的体温与生存情况
Pediatrics. 1964 Aug;34:171-81.
2
EFFECT OF MAINTENANCE OF "NORMAL" SKIN TEMPERATURE ON SURVIVAL OF INFANTS OF LOW BIRTH WEIGHT.维持“正常”皮肤温度对低体重出生婴儿存活率的影响
Pediatrics. 1964 Aug;34:163-70.
3
The influence of the thermal environment upon the survival of newly born premature infants.热环境对新生早产儿存活的影响。
Pediatrics. 1958 Nov;22(5):876-86.
4
The effects of thermal environment on heat balance and insensible water loss in low-birth-weight infants.热环境对低体重儿热平衡及不显性失水量的影响。
J Pediatr. 1980 Mar;96(3 Pt 1):452-9. doi: 10.1016/s0022-3476(80)80697-4.
5
Incubation of very immature infants.极不成熟婴儿的孵育。
Arch Dis Child. 1983 Jul;58(7):504-8. doi: 10.1136/adc.58.7.504.
6
New standards for neutral thermal environment of healthy very low birthweight infants in week one of life.健康极低出生体重儿出生后第一周中性热环境的新标准。
Arch Dis Child. 1984 Jan;59(1):18-22. doi: 10.1136/adc.59.1.18.
7
Effect of the thermal environment on cold resistance and growth of small infants after the first week of life.
Pediatrics. 1968 Jun;41(6):1033-46.
8
The optimum thermal environment for naked babies.裸身婴儿的最佳热环境。
Arch Dis Child. 1970 Jun;45(241):328-34. doi: 10.1136/adc.45.241.328.
9
Environmental control of the neonate receiving intensive care.
Int Anesthesiol Clin. 1974 Winter;12(4):173-215. doi: 10.1097/00004311-197412040-00012.
10
Incubator temperature control: effects on the very low birthweight infant.培养箱温度控制：对极低出生体重儿的影响
Arch Dis Child. 1985 Oct;60(10):902-7. doi: 10.1136/adc.60.10.902.
Zotero 插件