早产儿应用改良鸟巢体位包的护理效果观察

摘要

Objective To observe the effect of improved bird-nest-shaped package on the nursing of premature infants. Methods 100 premature were randomly divided into control group with bird-nest-shaped package and experiment group with improved bird-nest-shaped package. Homoeothermic water-pillows were applied in both groups. Apnea, sclerema neonatorum, SpO2 heart rate and rectal temperature changes 7 days after hospitalization between two groups were compared. Results No sclerema neonatorum occurred in two groups and no statistic significance exist in the comparison of' apnea but there were statistical differences between the comparisons of SpO2, heart rate and rectal temperature of infants in two groups. Conclusion Improved bird-nest-shaped package is beneficial to keeping a stable temperature and the SpO2, controlling the heart rate and maintaining a stable vital sign and the development of the normal physiology functions.%目的 观察改良鸟巢体位包在早产儿护理中的应用效果.方法 2009年7月-2010年10月100例早产儿根据入院的单双日分为对照组和研究组,分别采用传统棉布环形包绕四周的鸟巢和改良鸟巢体位包,即除了四周有棉布环绕外,还配有帽子,背部也有柔软温暖的海绵作为底垫,两组均予恒温水枕垫高头颈部,观察比较两组早产儿入院7 d内发生新生儿硬肿、呼吸暂停、经皮测SpO2＜85%、心率＞160次/min的例数,及每2 h内肛温＜36℃的例数.结果 早产儿入院7 d内研究组与对照组发生呼吸暂停的例数差异无统计学意义,对照组经皮测SpO2＜85%、心率＞160次/min、入院2h内肛温＜36℃的例数较多,差异均有统计学意义,但两组新生儿均未发生新生儿硬肿.结论 改良鸟巢体位包有利于维持患儿体温,维持较高血氧饱和度,能较好控制心率,从而促进早产儿适应宫外环境.