不同暖箱湿度对早产儿体重的影响  

Influence of the different humidity in the incubator on the weight of premature infants

作　　者：刘阳 王东颖 孙丽[1] LIU Yang;WANG Dongying;SUN Li(Tangshan Maternal and Child Health Care Hospital,Tangshan,Hebei Province,063000)

机构地区：[1]河北省唐山市妇幼保健院,063000

出　　处：《中国计划生育学杂志》2024年第6期1326-1330,共5页Chinese Journal of Family Planning

摘　　要：目的:探讨不同暖箱湿度对早产儿体重的影响。方法:2022年3月-2023年9月选取本院出生的100例早产儿(<孕37周),随机数表法分为两组各50例,分别给予不同暖箱内环境湿度护理(出生后1周内暖箱湿度达85%~90%为观察组、常规55%~65%湿度为对照组)。记录早产儿出生后1周内体重变化、恢复时间和并发症的发生情况,并对比新生儿皮肤状况评分表(NSCS)得分。结果:观察组早产儿出生后第3d体重减少量(32.8±10.3g)小于对照组(43.1±13.8g),出生后第7d体重增加量(40.6±12.7g)大于对照组(30.5±9.0g),NSCS量表中皮肤干燥度(1.45±0.31分)、皮肤损伤(1.20±0.37分)及总分(3.83±1.02分)均小于对照组(1.70±0.25分、1.40±0.28分、4.43±0.95分),早产儿住院期间体重日均增加值(19.1±5.7g)大于对照组(15.6±4.2g),恢复至出生体重时间(6.00±1.45d)、住院时间(15.60±5.13 d)均短于对照组(7.39±1.50 d、18.67±5.97 d)(均P<0.05)。两组早产儿肺炎、上呼吸道感染、皮肤感染、腹泻、鹅口疮等发生率以及院内感染总发生率均无差异(P>0.05)。结论:适当增加婴儿暖箱内环境湿度可减缓早产儿早期体重降低、促进早产儿体重增长,降低皮肤损伤风险,且不会增加感染风险,有利于生长发育。Objective:To explore the influence of the different humidity in the incubator on the weight of premature infants.Methods:From March 2022 to September 2023,100 premature infants(less than 37 gestational weeks)were selected and were divided into two groups(50 cases in each group)by random number table method.The neonates in the two groups were given care with different humidity in the incubator,including the neonates in the observation group with the humidity of 85%-90%within 1 week after birth and the neonates in the control group with normal humidity of 55%-65%.The weight change of the neonates within 1 week after birth,the time of weight recovery and the complications rate of the neonates in the two groups were recorded.The score of neonatal skin condition rating scale(NSCS)of the neonates was compared between the two groups.Results:The weight loss of the neonates(32.8±10.3g)in the observation group on the 3rd day after birth was significantly less than that(43.1±13.8g)of the neonates in the control group.The weight gain(40.6±12.7g)in the observation group on the 7th day after birth was significantly more than that(30.5±9.0g)of the neonates in the control group.The scores of the skin dryness(1.45+0.31 points)and the skin damage(1.20±0.37 points),and the total score(3.83±1.02 points)evaluated by NSCS scale of the neonates in the observation group were significantly lower than those(1.70±0.25 points,1.40±0.28 points and 4.43±0.95 points)of the neonates in the control group.The average daily weight gain(19.1±5.7g)of the neonates in the observation group during hospitalization was significantly higher than that(15.6±4.2g)of the neonates in the control group.The time to the weight return to the birth weight(6.00±1.45d)and the hospital stay(15.60±5.13 d)of the neonates in the observation group were significantly shorter that those(7.39±1.50 d and 18.67±5.97 d)of the neonates in the control group(all P<0.05).There were no significant differences in the incidences of pneumonia,upper respiratory tract infe

关 键 词：早产儿 暖箱内环境湿度 生长发育 皮肤状况 并发症 院内感染 

分 类 号：R473.72[医药卫生—护理学]