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新生儿重症监护病房噪音评估

Evaluation of noise in the neonatal intensive care unit.

作者信息

Benini F, Magnavita V, Lago P, Arslan E, Pisan P

机构信息

Pediatric Department and Audiology, University of Padova, Italy.

出版信息

Am J Perinatol. 1996 Jan;13(1):37-41. doi: 10.1055/s-2007-994200.

DOI:10.1055/s-2007-994200
PMID:8645384
Abstract

This study evaluated the noise level inside the incubators in a neonatal intensive care unit and identified its sources in order to attempt to reduce it. Although noise is not a proven risk factor as far as the sensory integrity of newborns is concerned, it is certainly an important cause of stress to them and a source of serious and dangerous changes in their behavioral and physiologic states. Noise recorded inside the incubators had two components. The first was background noise from the incubator motors, which varied from 74.2 to 79.9 dB, and was similar to environmental noise. The second source was impulsive events beyond 80 dB. These events were the result of voluntary and involuntary contact with the incubators' Plexiglas surface or to the abrupt opening and closing of their access ports. Considering its decibel levels and frequency, this latter component is undoubtedly an important source of stress to newborns. Moreover, these data reveal the need to train health care personnel on how to reduce such noise by taking more care in the handling of infants.

摘要

本研究评估了新生儿重症监护病房内暖箱的噪音水平,并确定其来源,以便尝试降低噪音。就新生儿的感官完整性而言,尽管噪音并非已证实的风险因素,但它肯定是给新生儿造成压力的一个重要原因,也是导致其行为和生理状态发生严重且危险变化的一个因素。在暖箱内记录到的噪音有两个组成部分。第一个是来自暖箱电机的背景噪音,其范围在74.2至79.9分贝之间,与环境噪音相似。第二个来源是超过80分贝的脉冲事件。这些事件是与暖箱的有机玻璃表面发生自愿或非自愿接触,或者暖箱入口突然打开和关闭所导致的。考虑到其分贝水平和频率,后一个组成部分无疑是给新生儿造成压力的一个重要来源。此外,这些数据表明有必要对医护人员进行培训,使其了解如何通过更小心地照料婴儿来降低此类噪音。

相似文献

1
Evaluation of noise in the neonatal intensive care unit.新生儿重症监护病房噪音评估
Am J Perinatol. 1996 Jan;13(1):37-41. doi: 10.1055/s-2007-994200.
2
Incubator noise: a method to decrease decibels.培养箱噪音:一种降低分贝的方法。
Pediatr Nurs. 1995 May-Jun;21(3):265-8.
3
The infant incubator in the neonatal intensive care unit: unresolved issues and future developments.新生儿重症监护病房的婴儿培养箱:未解决的问题和未来的发展。
J Perinat Med. 2009;37(6):587-98. doi: 10.1515/JPM.2009.109.
4
A noise-sensor light alarm reduces noise in the newborn intensive care unit.噪音传感器光警报器可降低新生儿重症监护病房的噪音。
Am J Perinatol. 2006 Jul;23(5):265-71. doi: 10.1055/s-2006-941455. Epub 2006 May 9.
5
Neonatal incubators: a toxic sound environment for the preterm infant?*.新生儿培养箱:早产儿的有毒声音环境?*
Pediatr Crit Care Med. 2012 Nov;13(6):685-9. doi: 10.1097/PCC.0b013e31824ea2b7.
6
Neonatal response to control of noise inside the incubator.新生儿对培养箱内噪音控制的反应。
Pediatr Nurs. 2001 Nov-Dec;27(6):600-5.
7
Noise and light exposures for extremely low birth weight newborns during their stay in the neonatal intensive care unit.极低出生体重新生儿在新生儿重症监护病房期间所接触的噪音和光线。
Pediatrics. 2009 Feb;123(2):540-6. doi: 10.1542/peds.2007-3418.
8
[Noise exposure in neonatal intensive care units].[新生儿重症监护病房中的噪声暴露]
Acta Otorhinolaryngol Ital. 1994 Sep-Oct;14(5):489-501.
9
How the NICU environment sounds to a preterm infant: update.对早产儿来说,新生儿重症监护病房的环境听起来如何:最新情况
MCN Am J Matern Child Nurs. 2007 Jul-Aug;32(4):250-3. doi: 10.1097/01.NMC.0000281966.23034.e9.
10
Noise levels in neonatal intensive care unit and use of sound absorbing panel in the isolette.新生儿重症监护病房的噪音水平及暖箱中吸音板的使用。
Int J Pediatr Otorhinolaryngol. 2009 Jul;73(7):951-3. doi: 10.1016/j.ijporl.2009.03.013. Epub 2009 Apr 29.

引用本文的文献

1
Living in a box: Understanding acoustic parameters in the NICU environment.困于方寸之间:了解新生儿重症监护病房环境中的声学参数。
Front Pediatr. 2023 Mar 27;11:1147226. doi: 10.3389/fped.2023.1147226. eCollection 2023.
2
The medial olivocochlear system attenuates the developmental impact of early noise exposure.中橄榄耳蜗系统可减轻早期噪声暴露对发育的影响。
J Assoc Res Otolaryngol. 2011 Jun;12(3):329-43. doi: 10.1007/s10162-011-0262-7. Epub 2011 Feb 23.
3
Spectral analysis of noise in the neonatal intensive care unit.新生儿重症监护病房噪声的频谱分析
Indian J Pediatr. 2008 Mar;75(3):217-22. doi: 10.1007/s12098-008-0048-z.
4
Noise levels within the ear and post-nasal space in neonates in intensive care.重症监护新生儿耳内及鼻后间隙的噪音水平
Arch Dis Child Fetal Neonatal Ed. 2003 Jul;88(4):F315-8. doi: 10.1136/fn.88.4.f315.