Extremely low birth weight preterm infants lack vasomotor response in relationship to cold body temperatures at birth.

Extremely low birth weight preterm infants lack vasomotor response in relationship to cold body temperatures at birth.
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出生时,婴儿的出生体重极低,婴儿缺乏血管舒缩反应,因为与出生时的寒冷体温有关。

DOI:
10.1038/jp.2009.99
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发表时间:
2009-12
影响因子:
2.9
通讯作者:
Wimmer, J. E., Jr.
Wimmer, J. E., Jr.
中科院分区:
医学3区
文献类型:
--
作者:
Knobel, R. B.;Holditch-Davis, D.;Schwartz, T. A.;Wimmer, J. E., Jr.

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这项研究评估了 ELBW 婴儿出生后 12 小时内体温下降时的外周血管收缩情况。一项针对 10 名 ELBW 婴儿的探索性受试者内设计。每分钟测量腹部和足部温度。还评估了外周血管收缩(腹部>外周温度2°C)和腹部-外周温差。每个婴儿的腹部温度和周围温度显着相关。一名 880 克的婴儿表现出孤立的外周血管收缩;体重 960 克的婴儿腹部温度比周围温度高出 1°C 以上。八名较小的婴儿没有表现出外周血管收缩,并且在大部分观察中外周温度高于腹部温度。在 8 名婴儿中,当腹部温度低于 36.5°C 时,平均温差显着较高。尽管气温较低,但大多数 ELBW 婴儿在出生后的前 12 小时内并未表现出外周血管收缩。 ELBW婴儿在此期间的血管舒缩控制可能还不成熟。
This study evaluated peripheral vasoconstriction in ELBW infants when body temperature decreased during the first 12-hours of life. An exploratory, within-subjects design with 10 ELBW infants. Abdominal and foot temperatures were measured every minute. Peripheral vasoconstriction (abdominal > peripheral temperature by 2° C) and abdominal-peripheral temperature difference were also evaluated. Abdominal and peripheral temperatures were significantly correlated within each infant. One 880 g infant exhibited isolated peripheral vasoconstriction; a 960 g infant had abdominal temperatures more than 1° C higher than peripheral temperatures. Eight smaller infants exhibited no peripheral vasoconstriction and spent most of their observations with peripheral greater than abdominal temperatures. In 8 infants, mean temperature difference was significantly higher when abdominal temperature was less than 36.5° C. Most ELBW infants did not exhibit peripheral vasoconstriction during their first 12-hours of life, despite low temperatures. ELBW infants’ vasomotor control may be immature during this period.
DOI: 10.1136/fn.78.1.f33
发表时间: 1998-01-01
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