母婴持续肌肤接触及有效母乳喂养对新生儿血糖的影响研究  

Study on the Effect of Continuous Mother-infant Skin Contact and Effective Breastfeeding on Neonatal Hypoglycemia

作　　者：赵如萍[1] 王惠[1] 徐萍[1] 曹红[1] 鞠鹏 徐云[1] 朱敏[1] ZHAO Ru-ping;WANG Hui;XU Ping;CAO Hong;JYU Peng;XU Yun;ZHU Min(Taizhou People's Hospital,Taizhou Jiangsu 225300,China)

机构地区：[1]泰州市人民医院,江苏泰州225300

出　　处：《泰州职业技术学院学报》2021年第5期84-87,共4页Journal of Taizhou Polytechnic College

摘　　要：目的探讨母婴持续肌肤接触及有效母乳喂养对新生儿血糖的影响。方法将我院2020年3月~12月收治的新生儿按照病区分为对照组与实验组。实验组147名高危儿,剖宫产母婴回病房后立即裸体与母体肌肤接触,阴道产新生儿在断脐前擦干皮肤、戴帽子等,放至母亲胸前肌肤接触,实现自主含乳,接触大于30分钟后监测血糖、断脐带等。对照组151名高危新生儿,剖宫产母婴回病房后,新生儿包裹在产妇身边进行早接触、早吸吮,并至婴儿床上监测血糖;阴道产新生儿产后裸体趴在产妇胸腹部,胎盘娩出后至产台断脐、穿衣后再协助母乳喂养。比较两组新生儿发生低血糖例数、血糖监测前后新生儿NIPS评分、心率。结果实验组发生低血糖例数明显少于对照组,P值<0.05;实验组操作后NIPS评分低于对照组,P值<0.05;实验组操作后1分钟、5分钟心率明显低于对照组,P值<0.05,均有显著差异。结论母婴持续肌肤接触及有效母乳喂养能降低新生儿低血糖的发生;降低新生儿疼痛评分,增加新出生新生儿的安全感,减少机体应急;减慢心率,减少机体能量消耗,减少低血糖的发生。Objective To explore the effects of continuous mother-to-child skin contact and effective breastfeed⁃ing on neonatal hypoglycemia.Method The neonates admitted in our hospital from March to December 2020 are divided into control group and experimental group according to the disease.The experimental group has 147 high-risk infants.The cesarean delivery baby will be naked and return to the ward to contact the mother's skin immediately after the operation.The vaginal newborn will dry the skin,wear a hat,etc.before the umbilical cord is broken.They will be put on the mother’s chest to have skin contact to achieve autonomous breastfeeding.Blood sugar will be monitored and the umbilical cord will be broken after a contact of more than 30 minutes.In the control group of 151 high-risk newborns,the newborn was wrapped around the mother for early contact,early sucking,and blood glucose is monitored in the crib after the mother and baby returned to the ward after ce⁃sarean section.The vaginal newborn is lying naked on the mother’s chest and abdomen after childbirth.The um⁃bilical cord is then broken at the delivery station,and the clothes are worn before assisting breastfeeding.The number of cases of hypoglycemia,NIPS scores and heart rate of newborns before and after the monitoring of blood glucose were compared between the two groups.Result The number of cases of hypoglycemia in the ex⁃perimental group was significantly fewer than that of the control group,with a P value of<0.05.The NIPS score of the experimental group after operation was lower than that of the control group,with a P value of<0.05.The heart rate of the experimental group at 1 minute and 5 minutes after operation was considerably lower than that of the control group,with a P value of<0.05.There are significant differences.Conclusion Continuous skin-to skin contact and effective breastfeeding can reduce the occurrence of neonatal hypoglycemia,reduce the score of neonatal pain,increase the sense of security of newborns,reduce body emergency;slow d

关 键 词：肌肤接触 有效母乳喂养 新生儿血糖 新生儿疼痛 

分 类 号：R473.72[医药卫生—护理学]