早产儿出生后黄金小时体温集束化管理对入科体温及结局的影响  

Impact of golden hour body temperature cluster management on admission body temperature and outcomes of premature infants after birth

作　　者：余小花 李仁君 曾晓兰 牟桂华 YU Xiaohua;LI Renjun;ZENG Xiaolan;MOU Guihua(Department of Pediatrics,Chongqing Dongnan Hospital,Chongqing 400060,China)

机构地区：[1]重庆市东南医院儿科,重庆400060

出　　处：《妇儿健康导刊》2025年第6期169-172,177,共5页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的 探讨早产儿出生后黄金小时体温集束化管理对入院体温及结局的影响。方法 以2018年12月至2021年12月于重庆市东南医院产房出生后1 h内转入新生儿室的胎龄<36周的45例早产儿作为对照组(实行常规体温管理),以2022年3月至2023年10月于重庆市东南医院产房出生后1h内转入新生儿室的胎龄<36周的40例早产儿作为干预组(实行出生后黄金小时体温集束化管理)。比较两组的入科体温、低体温发生率、临床指标[入科72 h血气pH值、凝血酶原时间(PT)、部分活化凝血酶原时间(APTT)、纤维蛋白原(Fib)]及并发症发生率。结果 与对照组相比,干预组入科体温更高,低体温发生率更低(P <0.05)。两组入科72 h血气pH值、PT、APTT、Fib比较无明显差异(P> 0.05)。干预组并发症总发生率较对照组低(P <0.05)。结论 早产儿出生后黄金小时体温集束化管理有利于稳定早产儿体温,减少低体温发生,控制相关并发症。Objective To explore the impact of golden hour body temperature cluster management on admission body temperature and outcomes of premature infants after birth.Methods A total of 45 premature infants with gestational age < 36 weeks who were transferred to the Neonatal Room within 1 hour after birth in to Chongqing Dongnan Hospital from December 2018 to December 2021 were selected as the control group(received routine body temperature management),and 40 premature infants with gestational age < 36 weeks who were transferred to the Neonatal Room within 1 hour after birth in Chongqing Dongnan Hospital from March 2022 to October 2023 were selected as the intervention group(received golden hour body temperature cluster management after birth).The admission body temperature,incidence of hypothermia,clinical indicators(blood gas pH value of 72 hours after admission,prothrombin time [PT],activated partial thromboplastin time [APTT],and fibrinogen [Fib]),and incidence of complications were compared between the two groups.Results Compared with the control group,the intervention group had higher admission body temperature and lower incidence of hypothermia(P < 0.05).There was no significant difference in blood gas pH value of 72hours after admission,PT,APTT,and Fib between the two groups(P > 0.05).The total incidence of complications in the intervention group was lower than that in the control group(P < 0.05).Conclusion Golden hour body temperature cluster management for premature infants after birth is beneficial for stabilizing the body temperature,reducing the occurrence of hypothermia,and controlling related complications.

关 键 词：早产儿 出生后黄金小时 集束化管理 入科体温 

分 类 号：R473.72[医药卫生—护理学]