Department of Women's and Children's Health, Azienda Ospedaliera di Padova, University of Padua, Padua, Italy.
Division of Neonatal Medicine, Escola Paulista de Medicina da Universidade Federal de São Paulo, São Paulo, Brazil.
Semin Fetal Neonatal Med. 2018 Oct;23(5):333-339. doi: 10.1016/j.siny.2018.03.009. Epub 2018 Mar 21.
A high incidence of postnatal hypothermia has been reported in high-as well low-resource countries and it remains an independent predictor of neonatal morbidity and mortality, especially in very preterm infants in all settings. The temperature of newly born infants should be maintained between 36.5 and 37.5 °C after birth through admission and stabilization. Interventions to achieve this may include environmental temperature 23-25 °C, use of radiant warmers, exothermic mattresses, woollen or plastic caps, plastic wraps, humidified and heated gases. Skin-to-skin contact has been used, especially in low-resource settings. The combinations of these interventions applied to quality improvement initiatives, including staff training, use of checklists, and continuous feedback with the staff involved in the management of the neonate, are key factors to prevent heat loss from delivery room to admission to the neonatal intensive care unit. The admission temperature should be recorded as a predictor of outcomes as well as a quality indicator.
高资源和低资源国家都有报道称，新生儿出生后低体温的发生率很高，这仍然是新生儿发病率和死亡率的独立预测因素，尤其是在所有环境下的极早产儿中。新生儿出生后应通过入住和稳定期将体温维持在 36.5 至 37.5°C 之间。为此，可采取的干预措施包括环境温度 23-25°C、使用辐射保暖器、产热床垫、羊毛或塑料帽、塑料包裹、加湿和加热气体。皮肤接触也已被使用，特别是在资源匮乏的环境中。将这些干预措施组合应用于质量改进措施中，包括对工作人员进行培训、使用检查表以及对参与新生儿管理的工作人员进行持续反馈，是防止新生儿从分娩室到新生儿重症监护病房的热量损失的关键因素。入住时的体温应作为预测结果和质量指标进行记录。
