母婴皮肤接触30min对早产儿黄金小时体温及母乳喂养的影响  

Effects of the Skin-to-Skin Contact For 30 min on the Golden Hour Body Temperature and Breast-Feeding of Premature Infants

作　　者：王帆 张丹丹 李胜玲[1] 邱银萍[2] 孙彩霞[2] 刘琴 Wang Fan;Zhang Dandan;Li Shengling;Qiu Yinping;Sun Caixia;Liu Qin(Nursing College,Ningxia Medical University,Yinchuan 750004,China;Department of Neonatal Intensive Care Unit,General Hospital of Ningxia Medical University,Yinchuan 750004,China;Department of Obstetrics,Yinchuan Women and Children Health-care Hospital,Yinchuan 750001,China)

机构地区：[1]宁夏医科大学护理学院,宁夏银川750004 [2]宁夏医科大学总医院新生儿科,宁夏银川750004 [3]银川市妇幼保健院产科,宁夏银川750001

出　　处：《哈尔滨医药》2020年第4期333-335,共3页Harbin Medical Journal

基　　金：国家自然科学基金(81660385)。

摘　　要：目的探讨母婴皮肤接触30min对早产儿黄金小时体温及对母乳喂养的影响。方法选取新生儿重症监护病房入住的96例早产儿作为干预组,实施新生儿早期基本保健临床操作指南建议的迅速擦干和母婴皮肤接触护理;同期于银川妇幼保健院产科出生的102例早产儿作为对照组,实施常规产后处理及管理。采用两独立样本t检验比较两组早产儿出生、15min、30min及1h体温变化及首次母乳喂养、喂养时机、觅食反射、吸吮反射及含接乳头得分情况,采用χ2检验比较两组早产儿首次母乳喂养率、纯母乳喂养率、部分母乳喂养率及人工喂养率。结果干预组早产儿娩出后15min、30min及1h的体温均高于对照组(P<0.001),两组早产儿均在娩出后15min体温陡峭式下降,且干预组娩出后15min体温降幅小于对照组;干预组早产儿首次母乳喂养、喂养时机、觅食反射、吸吮反射及含接乳头得分均高于对照组(P<0.05),其首次母乳喂养成功率也高于对照组(P<0.001);干预组早产儿娩出后第4天、第10天及第14天纯母乳喂养率均优于对照组(P<0.05)。结论母婴皮肤接触30min能够维持早产儿黄金小时体温趋于稳定,显著增加首次母乳喂养成功率及纯母乳喂养率。Objective To explore the effect of the skin-to-skin contact for 30 min between premature infants and their mothers on the golden hour body temperature and breast-feeding of premature infants.Methods A total of 96 cases of premature infants hospitalized in the neonatal intensive care were selected as intervention group,and implement the rapid drying and skin-to skin contact nursing recommended by the clinical guidelines for Early Essential Newborn Care.A total of 102 cases of premature infants hospitalized in obstetrics department of Yinchuan Women and Children Health-care Hospital during the same period were involved as control group and routine postpartum treatment and management were admitted.T-test of two independent samples were used to compare the changes of body temperature in birth,15 min,30 min and 1h of premature infants and breast-feeding for the first time,feeding time,foraging reflex,sucking reflex and contain nipple scores.Comparison of premature breast-feeding rates for the first time,exclusive breast-feeding rate,rate of partial breast-feeding and artificial feeding rate between two groups of premature infants by Chi-test.Results The intervention group had higher body temperature than the control group at 15 min,30 min and 1h after birth(P<0.001).The premature infants in both groups had a steep decline in body temperature 15 min after delivery,and the body temperature of the intervention group decreased less than that of the control group 15 min after delivery.The first breast-feeding,feeding timing,foraging reflex,sucking reflex and contain nipple scores of the preterm infants in the intervention group were higher than the control group(P<0.05).The first breast-feeding success rate in the intervention group was also significantly higher than that in the control(P<0.001).In the intervention group,the rates of exclusive breast-feeding on the 4th day after delivery,the 10th day and the 14th day were higher than those in the control group(P<0.05).Conclusion The skin-to-skin contact for 30 min can main

关 键 词：母婴皮肤接触 体温 母乳喂养 黄金小时 

分 类 号：R473.72[医药卫生—护理学]