不同沐浴方式对早产儿体温影响的系统评价  

Effects of Different Bathing Methods on Body Temperature of Premature Infants:A Systematic Review

作　　者：李霞[1,2] 万兴丽[1,2] 胡艳玲[1,2] 郭雪梅 LI Xia;WAN Xingli;HU Yanling;GUO Xuemei(Department of Neonatology Nursing,West China Second University Hospital,Sichuan University/West China School of Nursing,Chengdu 610041,Sichuan Province,China;Key Laboratory of Obstetric&Gynecologic and Pediatric Disease and Birth Defects of Ministry of Education,Sichuan University)

机构地区：[1]四川大学华西第二医院新生儿护理单元,四川大学华西护理学院,四川成都610041 [2]出生缺陷与相关妇儿疾病教育部重点实验室,四川成都610041

出　　处：《解放军护理杂志》2021年第5期62-66,共5页Nursing Journal of Chinese People's Liberation Army

基　　金：2020年四川省卫生健康科研课题立项项目(20PJ082)。

摘　　要：目的系统评价不同沐浴方式对早产儿体温的影响。方法计算机检索PubMed、Embase、CINAHL、the Cochrane Library、CBM、万方、CNKI数据库,收集其建库至2020年9月1日以来的有关早产儿不同沐浴方式对体温影响的相关研究,应用Revman、GeMTC软件进行Meta分析和网状Meta分析。结果共纳入5篇文献,其中随机对照试验3篇、交叉随机对照试验2篇,共348例患儿。Meta分析结果显示:襁褓浴与盆浴相比,早产儿沐浴后体温差异无统计学意义(P>0.05);与盆浴和襁褓浴相比,擦浴后早产儿体温更低,差异均有统计学意义(均P<0.05)。网状Meta分析的概率排序结果显示为:襁褓浴最能维持早产儿沐浴后体温,其次为盆浴和擦浴。结论襁褓浴和盆浴在维持早产儿沐浴后体温方面优于擦浴;且襁褓浴最优,推荐作为早产儿沐浴的首选方式。Objective To systematically review the different bathing methods on body temperature of premature infants.Methods The databases of PubMed, EMBASE,CINAHL,the Cochrane Library, CBM,Wanfang, and CNKI were searched by computer to collect the relevant studies on the effect of different bathing methods on body temperature of premature infants since the establishment of the database to September 1,2020.Revman and GeMTC software were used for meta-analysis and network meta-analysis.Results A total of 5 studies were selected, including 3 RCTs and 2 cross randomized controlled trials, involving 348 preterm infants.Meta-analysis showed no statistically significant difference in body temperature between swaddled bath and tub bathing(P>0.05).Compared with tub bathing or swaddled bathing, the premature infants had significantly lower body temperature after sponge bathing(all P<0.05).The rank probability of network meta-analysis showed that swaddled bathing was the best way to maintain the body temperature of preterm infants, followed by tub bathing, followed by sponge bathing.Conclusions Swaddled bathing and tub bathing are better than sponge bathing in maintaining the body temperature of premature infants.Swaddled bathing can be the first choice for premature infants.

关 键 词：早产儿 沐浴方式 襁褓浴 擦浴 系统评价 

分 类 号：R473.72[医药卫生—护理学]