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对处于密闭对流加热保温箱中的早产儿体温调节过程的数学建模。

Mathematical modelling of thermoregulation processes for premature infants in closed convectively heated incubators.

机构信息

Benemérita Universidad Autónoma de Puebla, Avenida San Claudio y 18 Sur, Col. San Manuel, Puebla, Mexico.

Departamento de Ciencias Básicas, Universidad Autónoma Metropolitana-Azcapotzalco, Av. San Pablo 180, Col. Reynosa Tamaulipas, México D.F. 02200, Mexico.

出版信息

Comput Biol Med. 2015 Feb;57:159-72. doi: 10.1016/j.compbiomed.2014.11.021. Epub 2014 Dec 9.

Abstract

The low-weight newborns and especially the premature infants have difficulty in maintaining their temperature in the range considered to be normal. Several studies revealed the importance of thermal environment and moisture to increase the survival rate of newborns. This work models the process of heat exchange and energy balance in premature newborns during the first hours of life in a closed incubator. In addition, a control problem was proposed and solved in order to maintain thermal stability of premature newborns to increase their rate of survival and weight. For this purpose, we propose an algorithm to control the temperature inside the incubator. It takes into account the measurements of the body temperature of a premature newborn which are recorded continuously. We show that using this model the temperature of a premature newborn inside the incubator can be kept in a thermal stability range.

摘要

低体重新生儿,尤其是早产儿,在维持正常体温范围内存在困难。多项研究揭示了热环境和湿度对提高新生儿存活率的重要性。本研究对早产儿在封闭保温箱中生命最初几小时内的热量交换和能量平衡过程进行建模。此外,还提出并解决了一个控制问题,以保持早产儿的热稳定性,从而提高其存活率和体重。为此,我们提出了一种控制保温箱内温度的算法。它考虑了早产儿体温的连续测量。我们表明,使用这种模型可以使保温箱内早产儿的体温保持在热稳定性范围内。

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