Mitchell A J, Yates C, Williams K, Hall R W
College of Nursing, University of Arkansas for Medical Sciences (UAMS), AR, USA.
J Neonatal Perinatal Med. 2013;6(3):243-9. doi: 10.3233/NPM-1370513.
BACKGROUND/AIMS: Kangaroo care (KC) has possible benefits for promoting physiological stability and positive developmental outcomes in preterm infants. The purpose of this study was to compare bradycardia and oxygen desaturation events in preterm infants in standard incubator care versus KC.
Thirty-eight infants 27 to 30 weeks gestational age were randomly assigned to 2 hours of KC daily between days of life 5 to 10 or to standard incubator care. Infants were monitored for bradycardia (heart rate <80) or oxygen desaturation (<80%). Analysis of hourly events was based on three sets of data: standard care group 24 hours daily, KC group during incubator time 22 hours daily, and KC group during holding time 2 hours daily.
The KC group had fewer bradycardia events per hour while being held compared to time spent in an incubator (p = 0.048). The KC group also had significantly fewer oxygen desaturation events while being held than while in the incubator (p = 0.017) and significantly fewer desaturation events than infants in standard care (p = 0.02).
KC reduces bradycardia and oxygen desaturation events in preterm infants, providing physiological stability and possible benefits for neurodevelopmental outcomes.
背景/目的：袋鼠式护理（KC）可能有助于促进早产儿的生理稳定性和积极的发育结果。本研究的目的是比较标准暖箱护理与袋鼠式护理对早产儿心动过缓和氧饱和度下降事件的影响。
38名孕龄27至30周的婴儿在出生后第5至10天被随机分配，一组每天接受2小时的袋鼠式护理，另一组接受标准暖箱护理。监测婴儿的心动过缓（心率<80次/分钟）或氧饱和度下降（<80%）情况。每小时事件的分析基于三组数据：标准护理组每天24小时、袋鼠式护理组在暖箱中的22小时以及袋鼠式护理组抱持期间的2小时。
与在暖箱中的时间相比，袋鼠式护理组在抱持期间每小时的心动过缓事件较少（p = 0.048）。袋鼠式护理组在抱持期间的氧饱和度下降事件也明显少于在暖箱中时（p = 0.017），且氧饱和度下降事件明显少于标准护理组的婴儿（p = 0.02）。
袋鼠式护理可减少早产儿的心动过缓和氧饱和度下降事件，提供生理稳定性，并可能对神经发育结果有益。
