多学科协作干预方案对预防胎龄<32 周早产儿低血糖及低体温的影响 ^①

李月玲 ^a ,黄 芳 ^a② ,梁春燕 ^a ,唐英姿 ^b ,赵文飘 ^b ,唐丽春 ^c

(广西壮族自治区妇幼保健院 a.护理部;b.新生儿科;c.产科,广西 南宁 530000)

摘要 目的:探讨多学科协作干预方案在预防早产儿低血糖、低体温中的效果。 方法:选取在本院分娩的胎龄<32 周的早产儿,其中 2019 年 3 月至 8 月 50 例为对照组,2019 年 10 月至 2020 年 3 月 50 例为干预组。 对照组实施常规护理,干预组在对照组基础上采用多学科协作干预方案,比较两组早产儿入新生儿科时、入科后 4 h 及 8 h 血糖和体温。 结果:干预组入科时低血糖、低体温发生率低于对照组(P<0.05);干预组入科时、入科后 4 h 血糖及体温高于对照组(P<0.05);入科后 8 h 两组血糖及体温比较无统计学差异(P>0.05)。 结论:多学科协作干预方案可改善胎龄<32 周早产儿早期血糖及体温水平。

关键词: 多学科协作;早产儿;低血糖;低体温

中图分类号:R722 文献标志码:A 文章编号:1008-2409(2022)03-0089-05

Multidisciplinary collaborative intervention program to prevent hypoglycemia and hypothermia in premature infants of gestational age less than 32 weeks ^①

LI Yueling ^a , HUANG Fang ^a② , LIANG Chunyan ^a , TANG Yingzi ^b , ZHAO Wenpiao ^b , TANG Lichun ^c .(a. Dept. of Nursing; b. Dept. of Neonatology; c. Dept. of Obstetrics; Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Nanning 530000, China)

Abstract Objective: To investigate the effects of a multidisciplinary collaborative intervention program in preventing hypoglycemia and hypothermia in premature infants. Methods: Premature infants of gestational age less than 32 weeks delivered in our hospital were selected, of whom, 50 cases from March to August 2019 were included in the control group, and another 50 cases from October 2019 to March 2020 in the intervention group. The control group performed routine nursing care, while the intervention group adopted the multidisciplinary collaborative intervention program on the basis of the control group. The blood glucose and body temperature levels of the premature infants when they were first admitted to the neonatology department, and at 4 h and 8 h after being admitted were compared between both groups. Results: The incidence of hypoglycemia and hypothermia in the intervention group was lower than that in the control group when admitted at first(P<0.05); the blood glucose and body temperature in the intervention group were higher than that of the control group when admitted and at 4 h after being admitted(P<0.05); and there was no significant difference in blood glucose and body temperature at 8 h after admission(P>0.05). Conclusion: Multidisciplinary collaborative intervention program can improve the early blood glucose and body temperature levels of preterm infants of gestational age less than 32 weeks.

Keywords: multidisciplinary collaborative intervention; premature infants; hypoglycemia; hypothermia

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