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Effect of Kangaroo Mother Care on Cerebral Hemodynamics in Preterm Neonates Assessed by Transcranial Doppler Sonography in Middle Cerebral Artery.经颅多普勒超声评估袋鼠式护理对早产儿大脑中动脉脑血流动力学的影响。
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本文引用的文献

1
Kangaroo mother care to reduce morbidity and mortality in low birthweight infants.袋鼠式护理可降低低体重儿的发病率和死亡率。
Cochrane Database Syst Rev. 2016 Aug 23;2016(8):CD002771. doi: 10.1002/14651858.CD002771.pub4.
2
Recommendations from a European Roundtable Meeting on Best Practice Healthy Infant Skin Care.欧洲最佳实践健康婴儿皮肤护理圆桌会议的建议。
Pediatr Dermatol. 2016 May;33(3):311-21. doi: 10.1111/pde.12819. Epub 2016 Feb 26.
3
Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysis.袋鼠式护理与新生儿结局：一项荟萃分析。
Pediatrics. 2016 Jan;137(1). doi: 10.1542/peds.2015-2238. Epub 2015 Dec 23.
4
Changes in physiological and behavioral parameters of preterm infants undergoing body hygiene: a systematic review.接受身体清洁护理的早产儿生理和行为参数的变化：一项系统综述
Rev Esc Enferm USP. 2014 Aug;48 Spec No:178-83. doi: 10.1590/S0080-623420140000600025. Epub 2014 Aug 1.
5
Comparing the effects of swaddled and conventional bathing methods on body temperature and crying duration in premature infants: a randomized clinical trial.比较襁褓式和传统沐浴方法对早产儿体温及啼哭持续时间的影响：一项随机临床试验。
J Caring Sci. 2014 Jun 1;3(2):83-91. doi: 10.5681/jcs.2014.009. eCollection 2014 Jun.
6
Effect of very early skin to skin contact on success at breastfeeding and preventing early hypothermia in neonates.皮肤早接触对母乳喂养成功率和预防新生儿早期低体温的影响。
Indian J Public Health. 2014 Jan-Mar;58(1):22-6. doi: 10.4103/0019-557X.128160.
7
Thermal protection of the newborn in resource-limited environments.资源有限环境下的新生儿热保护。
J Perinatol. 2012 May;32(5):317-24. doi: 10.1038/jp.2012.11. Epub 2012 Mar 1.
8
Tub bathing improves thermoregulation of the late preterm infant.盆浴可改善晚期早产儿的体温调节。
J Obstet Gynecol Neonatal Nurs. 2012 Mar;41(2):171-179. doi: 10.1111/j.1552-6909.2011.01332.x. Epub 2012 Feb 29.
9
Tub bathing versus traditional sponge bathing for the newborn.新生儿盆浴与传统海绵擦浴的比较
J Obstet Gynecol Neonatal Nurs. 2004 Nov-Dec;33(6):704-12. doi: 10.1177/0884217504270651.
10
Variations of vital signs, skin color, behavior and oxygen saturation in premature neonates after sponge bathing. Possible complications.早产新生儿擦浴后生命体征、皮肤颜色、行为及血氧饱和度的变化。可能出现的并发症。
Rev Invest Clin. 2003 Jul-Aug;55(4):438-43.

产后病房中对稳定早产儿进行袋鼠式护理后，水槽浴与海绵浴热稳定性的比较。

Comparison of Thermal Stability Between Immersion Bath and Sponge Bath Followed by Kangaroo Mother Care in Stable Preterm in Postnatal Ward.

作者信息

Veeraiah Raju, Mangalgi Sharanabasavesh M, Puttaswamy Nischal, M Satishkumar K, C Maralusidappa Pradeep G, Veerabhadraiah Krithika M

机构信息

Pediatrics and Neonatology, Vijayanagara Bruhat Bengaluru Mahanagara Palike (BBMP) Hospital, Bengaluru, IND.

Pediatrics and Neonatology, M S Ramaiah Hospital, Bengaluru, IND.

出版信息

Cureus. 2024 Aug 30;16(8):e68230. doi: 10.7759/cureus.68230. eCollection 2024 Aug.

DOI:10.7759/cureus.68230
PMID:39347229
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11439445/
Abstract

BACKGROUND

Preterm neonates are at high risk of hypothermia, which can lead to adverse health outcomes. This study aimed to compare the effects of immersion bath followed by Kangaroo Mother Care (KMC) versus sponge bath followed by KMC on the thermal stability of preterm neonates.

METHODS

A prospective interventional study was conducted on 76 preterm neonates, with 38 neonates in each group (immersion bath and sponge bath). Axillary temperature was measured before the bath and at various time intervals after the bath (immediately, 15, 30, 45, and 60 minutes).

RESULTS

The mean axillary temperature was significantly higher in the immersion bath group compared to the sponge bath group immediately after the bath (97.6°F vs. 96.3°F, p<0.001), at 15 minutes (97.6°F vs. 96.8°F, p<0.001), 30 minutes (97.9°F vs. 97.3°F, p=0.001), and 45 minutes (98.1°F vs. 97.7°F, p=0.002) post-bath. However, the difference was not statistically significant at 60 minutes post-bath (98.2°F vs. 98.0°F, p=0.091).

CONCLUSION

Immersion bathing followed by KMC is more effective than sponge bathing followed by KMC in maintaining thermal stability in preterm neonates. Healthcare providers should consider adopting this approach as the preferred bathing method for preterm neonates to promote better health outcomes.

摘要

背景

早产儿体温过低风险高，这可能导致不良健康后果。本研究旨在比较先进行浸浴后实施袋鼠式护理（KMC）与先进行擦浴后实施KMC对早产儿热稳定性的影响。

方法

对76例早产儿进行前瞻性干预研究，每组38例（浸浴组和擦浴组）。在浴前及浴后不同时间间隔（即刻、15、30、45和60分钟）测量腋温。

结果

浸浴组浴后即刻（97.6°F对96.3°F，p<0.001）、15分钟（97.6°F对96.8°F，p<0.001）、30分钟（97.9°F对97.3°F，p=0.001）和45分钟（98.1°F对97.7°F，p=0.002）的平均腋温显著高于擦浴组。然而，浴后60分钟时差异无统计学意义（98.2°F对98.0°F，p=0.091）。

结论

先进行浸浴后实施KMC在维持早产儿热稳定性方面比先进行擦浴后实施KMC更有效。医疗服务提供者应考虑采用这种方法作为早产儿首选的沐浴方式，以促进更好的健康结局。