Skin to skin care:heat balance
Skin to skin care:heat balance
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DOI：
10.1136/fn.75.2.f130
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发表时间：
1996-09-01
影响因子：
4.4
通讯作者：
Karlsson, H
中科院分区：
文献类型：
--
作者：
Karlsson, H
皮肤对皮肤的护理已经在原始和高科技培养中实践，以保持新生儿的体温。在中度低体温的足月新生儿中测量局部皮肤温度和热流，以量化在一小时的皮肤到皮肤护理期间发生的热传递。平均（SD）直肠温度升高0.7（0.4）℃至37.0 ℃。从头部未受保护的皮肤到周围空气的热量损失很高（70 Wm（-2））。微小的热量损失发生在覆盖的区域;热量最初从与母亲皮肤接触的区域获得。在皮肤护理期间的总干热损失对应于在32-32.5摄氏度的恒温箱护理期间的热损失。减少的热损失，以及在较小程度上，来自母亲的初始热通量允许热量被保存，导致复温。
Skin to skin care has been practised in primitive and high technology cultures for body temperature preservation in neonates. Regional skin temperature and heat flow was measured in moderately hypothermic term neonates to quantitate the heat transfer occurring during one hour of skin to skin care.Nine healthy newborns with a mean rectal temperature of 36.3 degrees C were placed skin to skin on their mothers' chests. The mean (SD) rectal temperature increased by 0.7 (0.4)degrees C to 37.0 degrees C. The heat loss was high (70 Wm(-2)) from the unprotected skin of the head to the surrounding air. Minute heat losses occurred from covered areas; and heat was initially gained from areas in contact with the mother's skin. The total dry heat loss during skin to skin care corresponded to heat loss during incubator care at 32-32.5 degrees C.The reduced heat loss, and to a minor extent, the initial heat flux from the mothers allowed heat to be conserved, leading to rewarming.