非常早产婴儿的入院温度2012-2021年:全国质量注册研究,挪威
Thale Amalie Westre Solvang1, Vilde Bråten Herstad1, Ketil Størdal2,3
1Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
BMJ paediatrics open
|February 26, 2025
概括
非常早产婴儿的低温症减少,但仍然是一个严重的风险. 维持正常的入院温度对于降低新生儿死亡率和肠道并发症至关重要.
科学领域:
- 新生儿科学 新生儿科学
- 围产儿医学 围产儿医学
- 儿科重症监护 儿科重症监护
背景情况:
- 入院温度是新生儿结果的关键因素.
- 非常早产婴儿的低温与增加的发病率和死亡率有关.
- 了解温度管理的趋势和干预措施至关重要.
研究的目的:
- 分析非常早产婴儿入院温度的分布和时间趋势.
- 评估温度保护干预措施的影响.
- 调查低温和新生儿不良结果之间的关联.
主要方法:
- 在32周妊娠年龄之前出生婴儿的基于人口的队列研究 (2012-2021年).
- 低体温的分类:轻度 (36.0°C-36.4°C),中度 (34.5°C-35.9°C),严重 (<34.5°C). 低体温的几种类型
- 多变量逻辑回归用于评估入院温度和结果之间的关联,并对混因素进行调整.
主要成果:
- 超过50%的婴儿有正常的入院温度 (36.5°C-37.5°C).
- 中度至重度低温的发病率从24%降至16% (2012-2021年).
- 低温与增加的死亡率和手术性死性肠球炎/肠穿孔明显相关.
结论:
- 尽管出现了下降趋势,但非常早产婴儿的低温仍然是一个重大问题.
- 像测量发送单元中的温度等干预措施与较低的低温率有关.
- 解决医院间的变化和改善分娩室温度监测是取得进展的关键领域.
相关概念视频
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 - Tympanic membrane
Assessing tympanic membrane temperature involves using a tympanic membrane thermometer (TMT). Here is a step-by-step guide:
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...
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...


