Skin-to-skin (kangaroo) care, respiratory control, and thermoregulation

Skin-to-skin (kangaroo) care, respiratory control, and thermoregulation
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DOI:
10.1067/mpd.2001.110978
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发表时间:
2001-02-01
影响因子:
5.1
通讯作者:
Poets, CF
Poets, CF
中科院分区:
医学2区
文献类型:
--
作者:
Bohnborst, B;Heyne, T;Poets, CF

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目的:证明皮肤对皮肤护理(SSC)对心动过缓和/或低氧血症发作的频率没有有害影响。方法:22例自主呼吸早产儿(出生时中位胎龄29周[范围,24-31周];研究时年龄26天[范围,7-72天];研究时体重1310 g[范围,725-1890 g])在SSC之前、期间和之后分别用脉搏血氧仪(SpO(2))记录3次2小时的呼吸运动、鼻气流、心率和血氧饱和度。每2小时测一次直肠温度。分析基线心率和呼吸频率、心动过缓(心率<基线的三分之二)、低氧血症(SpO(2) 80%)以及呼吸模式(规则与不规则)的记录。结果:SSC期间基线心率和呼吸频率升高(P
Aim: To demonstrate that skin-to-skin care (SSC) has no detrimental effects on the frequency of episodes of bradycardia and/or hypoxemia.Methods: Twenty-two spontaneously breathing preterm infants (median gestational age at birth, 29 weeks [range, 24-31 weeks]; age at study, 26 days [range, 7-72 days]; weight at study, 1310 g [range, 725-1890 g]) had three 2-hour recordings of breathing movements, nasal airflow, heart rate, and oxygen saturation as measured by pulse oximetry (SpO(2)) before, during, and after SSC. Rectal temperature was obtained every 2 hours. Recordings were analyzed for baseline heart and respiratory rates, bradycardia (heart rate < two thirds of baseline), and hypoxemia (SpO(2) 80%), as well as for breathing pattern (regular vs non-regular).Results: Baseline heart rate and respiratory rate increased during SSC (P