Use of self-heating gel mattresses eliminates admission hypothermia in infants born below 28 weeks gestation
Use of self-heating gel mattresses eliminates admission hypothermia in infants born below 28 weeks gestation
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DOI：
10.1007/s00431-009-1113-y
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发表时间：
2010-07-01
影响因子：
3.6
通讯作者：
Yoxall, C. W.
中科院分区：
文献类型：
--
作者：
Ibrahim, C. P. Hafis;Yoxall, C. W.
出生时体温过低与早产儿的死亡率和发病率密切相关，当地审计显示封闭式包裹在预防极早产儿入院时体温过低方面的效果有限。为预防胎龄小于等于28周的新生儿出生时体温过低，采用自热式醋酸凝胶床垫对胎龄小于等于28周的新生儿进行复苏，通过回顾性研究评价自热式醋酸凝胶床垫预防出生时体温过低的效果。所有在复苏过程中引入自加热醋酸凝胶床垫前18个月和后18个月内出生的妊娠28周或以下的婴儿均被纳入。105名婴儿在未使用醋酸凝胶床垫时出生，124名婴儿在使用期间出生。4名（3.3%）婴儿在入院时使用床垫时体温过低（体温< 36A ℃），而21名（22.6%）婴儿在未使用床垫时体温过低（p < 0.001）。体温过高（温度> 37 A摄氏度）从使用凝胶床垫前的30.1%上升到使用凝胶床垫后的49.6%（p = 0.004）。自加热醋酸凝胶床垫对于减少出生时体温过低非常有效怀孕28周或以下的婴儿。这些床垫的使用与体温过高的显著增加有关。
Hypothermia at birth is strongly associated with mortality and morbidity in pre-term infants.A local audit showed limited effectiveness of occlusive wrapping in preventing admission hypothermia in very pre-term infants. Self-heating acetate gel mattresses were introduced as a result to prevent hypothermia at birth in infants born at or below 28 weeks gestation.A retrospective audit was conducted to evaluate the effectiveness of self-heating acetate gel mattresses at resuscitation of infants born at or below 28 weeks to prevent hypothermia at birth. All infants born at or below 28 weeks gestation during 18 months before and 18 months after self-heating acetate gel mattresses were introduced during resuscitation were included.One hundred five babies were born when acetate gel mattresses were not used, and 124 were born during the period when they were. Four (3.3%) babies were hypothermic (temperature < 36A degrees C) at admission when the mattresses were used compared to 21 (22.6%) babies who were hypothermic during the period it was not (p < 0.001). Hyperthermia (temperature > 37A degrees C) rose from 30.1% prior to use of gel mattresses to 49.6% when they were used (p = 0.004).Self-heating acetate gel mattresses are highly effective in reducing admission hypothermia in infants born at or below 28 weeks gestation. The use of these mattresses is associated with a significant increase in hyperthermia.