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尿布内衬对极早产儿体温稳定性的影响。

Effect of nappy liners on temperature stability in very preterm infants.

作者信息

Monterosso L, Percival P, Cole J, Evans S F

机构信息

King Edward Memorial Hospital for Women, Subiaco,,Women & Infants Research Foundation - Western Australia,,Edith Cowan University, Churchlands,,Curtin University of Technology, Shenton Park, Western Australia, Australia.

出版信息

J Paediatr Child Health. 1999 Aug;35(4):363-366. doi: 10.1046/j.1440-1754.1999.00374.x.

DOI:10.1046/j.1440-1754.1999.00374.x
PMID:28871646
Abstract

OBJECTIVE

To determine whether absorbent liners used in posturally supportive cloth nappies influence temperature stability in infants < 31 weeks gestation.

METHODOLOGY

Randomized cross-over trial conducted at King Edward Memorial Hospital for Women, Perth, Western Australia. Twenty-three infants nursed in incubators on Infant Servo Control were randomly assigned to wear cloth postural support nappies alternately with or without absorbent liners for 24-h periods over 4 days. Measurements of skin and incubator temperatures were recorded hourly. Times of all nappy changes and infant handling procedures were also recorded.

RESULTS

There was no change in any temperature measurement over time, between days, or between day/night periods. Infants nursed with the liner demonstrated a higher skin temperature (0.04°C), and a lower incubator temperature (1.05°C). A drop in skin temperature of 0.02°C and an increase in incubator temperature of 0.28°C occurred following handling of infants. There was no effect due to sex, gestational age, or actual age of the infants.

CONCLUSION

Use of an absorbent liner within a cloth postural support nappy promotes better temperature regulation in infants < 31 weeks gestation, by reducing incubator temperature and increasing skin temperature.

摘要

目的

确定用于姿势支撑布尿布的吸水衬垫是否会影响孕周小于31周的婴儿的体温稳定性。

方法

在西澳大利亚州珀斯的爱德华国王纪念医院妇女医院进行的随机交叉试验。将23名在婴儿伺服控制的 incubator 中护理的婴儿随机分配,在4天内交替穿着有或没有吸水衬垫的布制姿势支撑尿布24小时。每小时记录皮肤和 incubator 的温度测量值。还记录了所有尿布更换和婴儿处理程序的时间。

结果

随着时间的推移、在不同日期之间或白天/夜间期间,任何温度测量值均无变化。使用衬垫护理的婴儿皮肤温度较高(0.04°C), incubator 温度较低(1.05°C)。处理婴儿后,皮肤温度下降0.02°C, incubator 温度上升0.28°C。婴儿的性别、孕周或实际年龄没有影响。

结论

在布制姿势支撑尿布中使用吸水衬垫,通过降低 incubator 温度和提高皮肤温度,可促进孕周小于31周的婴儿更好地调节体温。

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