在早产婴儿中,内肌吸收持续时间脑氧化的影响
Ozlem Selime Merter1, Semiha Dertli1, Erdal Taskin2
1Faculty of Health Sciences Department of Nursing, Firat University, Elazig, Turkey.
Journal of clinical nursing
|July 29, 2024
概括
长时间的内吸会对早产婴儿的大脑氧化产生负面影响. 将吸时间限制在13秒以下可能会优化婴儿的结果并减少疼痛.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 儿科生理学 儿科生理学
- 新生儿呼吸系统护理 新生儿呼吸系统护理
背景情况:
- 内膜吸管是新生儿重症监护室 (NICU) 中常见的一种手术.
- 腹腔内吸的持续时间可以影响早产婴儿的生理稳定性.
- 有限的数据存在于内吸收的最佳持续时间,以最大限度地减少不良影响.
研究的目的:
- 评估内吸管持续时间对早产婴儿大脑氧化的影响.
- 评估吸时间和生理参数 (包括疼痛) 之间的相关性.
- 建立一个以证据为基础的指导方针,以确定最佳的内肌吸收持续时间.
主要方法:
- 一项前性观察性研究,涉及51名早产婴儿 (怀孕28至34周) 在NICU.
- 在吸气前,吸气期间和吸气后,使用近红外光谱监测大脑的氧化.
- 婴儿疼痛使用新生儿疼痛,兴奋和镇静量表 (N-PASS) 进行评估.
主要成果:
- 在最低的脑氧化水平和内肌吸收持续时间之间观察到负相关性.
- 吸入过程中,大脑的氧化减少,与吸入前和后的水平相比.
- 吸气时间小于13秒的婴儿表现出更高的脑氧化;更长的持续时间与增加的疼痛和延迟的氧化恢复相关.
结论:
- 长时间的内吸管吸收时间会对早产婴儿的大脑氧化产生不利影响.
- 建议最优的内吸管吸收持续时间小于13秒.
- 实施基于证据的吸收实践可以改善新生儿重症监护室的患者护理和结果.
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