Wan Xing-Li, Su Shao-Yu, Tang Jun, Hu Yan-Ling, Cheng Hong, Peng Wen-Tao, Chen Qiong, Li Xiao-Wen, Huang Xi, Liu Qian, Wang Zheng-Dong, Mu De-Zhi
Department of Neonatology, West China Second University Hospital, Sichuan University/Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu 610041, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2018 Aug;20(8):613-617. doi: 10.7499/j.issn.1008-8830.2018.08.003.
To study the effect of golden-hour body temperature bundle management strategy on admission temperature and clinical outcome in preterm infants with a gestational age of <34 weeks after birth.
The preterm infants who were born in the delivery room of the West China Second University Hospital of Sichuan University and admitted to the department of neonatology of this hospital within 1 hour after birth from December 2015 to June 2016 and from January to May, 2017 were enrolled. The 173 preterm infants who were admitted from January to May, 2017 were enrolled as the intervention group and were given golden-hour body temperature bundle management. The 164 preterm infants who were admitted from December 2015 to June 2016 were enrolled as the control group and were given conventional body temperature management.
The intervention group had a significantly higher mean admission temperature than the control group (36.4±0.4°C vs 35.3±0.6°C; P<0.001). The incidence rate of hypothermia on admission in the intervention group was significantly lower than that in the control group (56.6% vs 97.6%; P<0.001). The intervention group had a significantly lower incidence rate of intracranial hemorrhage within one week after admission than the control group (15.0% vs 31.7%; P<0.05).
Golden-hour body temperature bundle management for preterm infants within one hour after birth can reduce the incidence of hypothermia on admission and improve clinical outcome.
研究黄金一小时体温综合管理策略对出生后胎龄<34周的早产儿入院体温及临床结局的影响。
选取2015年12月至2016年6月以及2017年1月至5月在四川大学华西第二医院产房出生且出生后1小时内入住本院新生儿科的早产儿。将2017年1月至5月入院的173例早产儿作为干预组，给予黄金一小时体温综合管理。将2015年12月至2016年6月入院的164例早产儿作为对照组，给予常规体温管理。
干预组的平均入院体温显著高于对照组（36.4±0.4°C对35.3±0.6°C；P<0.001）。干预组入院时低体温发生率显著低于对照组（56.6%对97.6%；P<0.001）。干预组入院后一周内颅内出血发生率显著低于对照组（15.0%对31.7%；P<0.05）。
对出生后一小时内的早产儿进行黄金一小时体温综合管理可降低入院时低体温发生率并改善临床结局。
