Department of Pediatrics, Shree Krishna Hospital, Pramukhswami Medical College, Karamsad, Gujarat, India.
Central Research Services, Charutar Arogya Mandal, Karamsad, Gujarat, India.
J Trop Pediatr. 2019 Apr 1;65(2):122-129. doi: 10.1093/tropej/fmy025.
The objective of this study was to determine the efficacy of polyethylene skin wrapping on thermoregulation in preterm neonates.
Total 151 neonates were enrolled in this randomized control trial. In the control group, neonates were transferred to the radiant warmer and covered with warm cloth after initial care. In the study group, neonates were transferred to the radiant warmer and placed in a food-grade polyethylene bag for 1 h. Axillary temperature of all neonates was recorded for first 24 h at frequent time intervals.
Mean temperature reached to normal range earlier and remained significantly higher in the study group for most time intervals, and this difference persisted even at 24 h. Significantly less number of preterm newborns suffered from hypothermia in the study group as compared with the control group [50 (67.6%) vs. 67 (87%), p = 0.004].
Polyethylene wraps achieved rapid, sustained thermal control and were effective in preventing hypothermia in preterm newborns.
本研究旨在确定聚乙烯皮肤包裹对早产儿体温调节的疗效。
本随机对照试验共纳入 151 例新生儿。在对照组中，新生儿在初步护理后被转移到辐射保暖台并盖上温暖的布。在研究组中，新生儿被转移到辐射保暖台并放置在食品级聚乙烯袋中 1 小时。所有新生儿在前 24 小时内每隔一段时间记录腋温。
研究组的平均体温更快达到正常范围，在大多数时间间隔内显著更高，这种差异甚至在 24 小时时仍然存在。与对照组相比，研究组发生低体温的早产儿数量明显更少[50（67.6%）比 67（87%），p=0.004]。
聚乙烯包裹物实现了快速、持续的体温控制，有效预防了早产儿低体温。
