早产儿实施鸟巢式护理的临床研究.docVIP

早产儿实施鸟巢式护理的临床研究 　　摘要：目的 研究早产儿实施鸟巢式护理的临床价值。方法 将2013年1月～2014年1月降生的44例早产儿随机分为研究组和对照组，每组22例。对照组实施基线护理及新生儿常规护理，以常规浴巾折叠法包裹新生儿。研究组实施基线护理及新生儿常规护理，以鸟巢式护理法用浴巾实施新生儿包裹。对比两组新生儿24h睡眠时间、血氧饱和度、体位变化幅度及出暖箱时间。同时观察和统计两组新生儿暖箱保温期间的的呼吸暂停发生情况。结果 研究组患儿24h睡眠时间，血氧饱和度、体温波动幅度及出暖箱时间均显著优于对照组（P0.05）。在未出暖箱期间，研究组1例发生呼吸暂停，发生率为4.55%；对照组8例发生呼吸暂停，发生率为36.36%。研究组呼吸暂停发生率显著低于对照组（P0.05）。结论 早产儿实施鸟巢式护理可有效保持早产新生儿的体温，有助于为其提供良好的新陈代谢及生长发育环境，促进其生命体征的稳定。 　　关键词：新生儿；早产儿；鸟巢式护理 　　Abstract：Objective To study the clinical value of bird nest nursing in premature infants. Methods 44 premature infants born in June 2012 in September were randomly divided into study group and control group， each group of 22 people. Control group received routine nursing care and neonatal baseline， using conventional towel folding package of newborn. The research group received baseline nursing and routine neonatal care， to the bird nest type nursing method for the implementation of neonatal bath towel wrapped. The 24h sleep duration， blood oxygen saturation， the change of body position and the time of the warm box were compared between the two groups. At the same time observation and statistics of the two groups of neonatal warm box during the period of breathing and apnea occurred. Results 24h sleep duration， blood oxygen saturation， temperature fluctuation range and the temperature of the warm box were significantly higher in the study group than in the control group （P 0.05）. In the absence of the warm box， the study group of 1 cases of respiratory apnea， the incidence was 8； the control group of 4.55% people occurred apnea， the occurrence rate was 36.36%. The incidence of apnea was significantly lower in the study group than in the control group （P 0.05）. Conclusion The implementation of bird nest in premature infants can effectively maintain the body temperature， and it can provide a good metabolic and growth environment， and promote the stability of the vital signs. 　　Key words：Neonate； Premature infant； Bird nest type nursing