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在阿曼早产新生儿的低温症:一项回顾性研究
Mohamed Abdellatif1, Fatma Musallam Al Ghafri1, Murtadha Al Kahbori2
1Neonatal Intensive Care Unit, Department of Child Health, Sultan Qaboos University Hospital, Muscat, Oman.
Oman medical journal
|December 24, 2024
概括
大多数早产婴儿 (86.7%) 在接受NICU治疗时经历过低温,与腹腔内出血有关. 积极的干预对于降低早产新生儿低温的发生率至关重要.
科学领域:
- 新生儿医学 新生儿医学
- 产周研究 产周研究
- 儿科重症监护 儿科重症监护
背景情况:
- 低温是早产婴儿的一个重大问题.
- 维持正常热量对于新生儿的结果至关重要.
研究的目的:
- 为了确定早产婴儿 (<32周妊娠期) 的低温患病率.
- 评估入院温度,新生儿/母亲风险因素和妊娠年龄之间的关联.
- 评估入院温度与新生儿发病率/死亡率之间的联系.
主要方法:
- 对8年的数据 (2010-2017年) 进行了回顾性分析.
- 包括早产新生儿 (<32周怀孕) 进入第三级NICU.
- 对587名婴儿的分析,包括关于妊娠年龄,出生体重和入院温度的数据.
主要成果:
- 86.7%的婴儿出现了低温症 (关温度<36.5°C).
- 平均妊娠年龄为28.4周,平均出生体重为1154.2g,平均入院温度为35.5°C.
- 多变量分析显示,心室内出血与低温症发生率有显著的相关性.
结论:
- 在NICU入院时,在早产婴儿中观察到低温的高发病率.
- 低温与显著的新生儿发病率有关.
- 需要采取更积极的干预措施,以防止这种脆弱人群的低温.
相关概念视频
Factors Affecting Body Temperature
As a nurse, it is vital to understand the factors affecting body temperature to monitor variations and effectively evaluate deviations from regular.
Factors may include:
Factors may include:
Methods of reducing fever
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
Decreased Body Temperature
A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by sustained extreme cold exposure, and severe...
Temperature Measurement Sites
A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Assessing Body Temperature - Rectal
Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Assessing Body Temperature - Temporal Artery
Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's forehead...
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.
Step 3: Assess the patient's forehead...

