鸟巢式护理在早产儿转运中的临床应用效果  

Clinical application effect of bird-nest type nursing in the transport of premature infants

作　　者：李婉仪[1] 徐玉卿[1] 邵玉芳[1] 周福心 王雪芬 LI Wan-yi;XU Yu-qing;SHAO Yu-fang(Department of Surgery,Dongguan Maternal and Child Health Care Hospital,Dongguan 523000,China)

机构地区：[1]东莞市妇幼保健院外科,523000

出　　处：《中国实用医药》2018年第34期155-157,共3页China Practical Medicine

摘　　要：目的探讨鸟巢式护理在早产儿转运过程中的应用效果。方法 128例早产儿,随机分成实验组(76例)和对照组(52例)。对照组采用专用转运暖箱进行转运,实验组采用专用转运暖箱加鸟巢式护理转运,比较两组早产儿转运过程中生命体征监测情况、转运后生长发育及治疗预后情况。结果实验组早产儿体温波动(0.33±0.09)℃明显低于对照组的(0.67±0.14)℃,低体温发生次数(3.43±1.02)次及呼吸暂停发生次数(4.65±2.43)次明显少于对照组的(6.67±2.77)、(7.54±2.81)次,血氧饱和度(93.56±4.65)%明显高于对照组的(87.54±4.21)%,差异有统计学意义(P<0.05)。两组早产儿转运后的头围增长、身高增长、体重增长速度及恢复至出生体重时间比较差异无统计学意义(P>0.05)。两组早产儿出暖箱时间和治愈好转率比较差异无统计学意义(P>0.05)。结论鸟巢式护理在早产儿转运中有利于保持病情平稳,提高转运的安全性和成功率。Objective To discuss the application effect of bird-nest type nursing in the transport of premature infants.Methods A total of 128 premature infants were randomly divided into experimental group (76 cases)and control group (52 cases).The control group was transported by special transporting warm box,and the experimental group was transported by special transporting warm box and bird-nest nursing.Comparison were made on monitoring of vital signs,growth and development after transport and treatment prognosis of preterm infants in two groups.Results The experimental group had obviously lower temperature fluctuation as (0.33±0.09)℃ than (0.67±0.14)℃ in the control group,obviously less frequency of hypothermia as (3.43±1.02) times and frequency of apnea as (4.65±2.43) times than (6.67±2.77) and (7.54±2.81) times in the control group,and obviously higher saturation of blood oxygen as (93.56±4.65)% than (87.54±4.21)% in the control group.Their difference was statistically significant (P<0.05).There was no statistically significant difference in head circumference growth,height growth,weight gain rate and return to birth weight after transport between the two groups (P>0.05).There was no significant difference in off heating box time and healing improvement rate between the two-groups (P>0.05).Conclusion Bird-nest type nursing in the transport of premature infants helps to maintain a stable conditio.n and improve the safety and success rate of transport.

关 键 词：鸟巢式护理 早产儿 新生儿转运 新生儿重症监护 

分 类 号：R473.72[医药卫生—护理学]