在标准化护理下,按期出生的婴儿在头24小时内体温偏差的正常范围和风险因素:一项观察性研究
Lars Tveiten1, Lien My Diep2,3, Thomas Halvorsen4,5
1Department of Pediatrics - Elverum, Innlandet Hospital Trust, Elverum, Norway lars.tveiten@sykehuset-innlandet.no.
BMJ paediatrics open
|June 1, 2024
概括
健康的按期出生的婴儿在头几个小时内面临低温和8小时后高温的风险,即使是世卫组织推的护理. 监测婴儿体温对于早期检测和干预至关重要.
科学领域:
- 新生儿生理学 新生儿生理学
- 儿科温度调节 儿科温度调节
背景情况:
- 在最初的24小时内,预产婴儿的正常体温范围尚未得到很好的确立.
- 婴儿热调节对健康至关重要,需要了解环境影响.
研究的目的:
- 为了确定健康的婴儿在生命的前24小时内正常的直肠温度范围.
- 为了调查这些婴儿的低温和高温的发生率.
- 为了确定与婴儿体温异常相关的危险因素.
主要方法:
- 一项前性观察研究在一个单中心地区医院进行.
- 监测了951名健康的婴儿,在2,4,8,16和24小时测量了直肠和室温.
- 婴儿根据世界卫生组织 (WHO) 的建议进行哺乳,包括皮肤对皮肤护理和婴儿床护理.
主要成果:
- 低温 (<36.5°C) 发生在28%的婴儿中,主要发生在前8小时内. 风险因素包括出生体重低,男性性别,夜间分娩和婴儿床护理.
- 超热 (>37.5°C) 发生在12%的婴儿中,主要发生在8小时后. 风险因素包括高出生体重,清醒,皮肤与皮肤的照顾,以及严重染色的胎液.
- 在整个24小时期间,直肠温度的中位数在36.8°C至37.1°C之间.
结论:
- 按期出生的婴儿在婴儿早期容易出现低温症,后来出现高温症,尽管他们遵守了推的护理实践.
- 环境温度和哺乳方法显著影响婴儿的体温.
- 持续监测和对风险因素的认识对于管理婴儿温度调节至关重要.
关键词:
身体温度 身体温度热量过高的情况.低温症是什么意思 低温症婴儿,新生儿 新生儿新生儿科学 新生儿科学护理 护理 护理 护理生理学 生理学 生理学参考值是指参考值的使用情况.睡眠 睡眠 睡眠 睡眠更多相关视频
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