[1]史明霞,余 苹,汤 颖,等.母婴皮肤接触对母婴影响的研究[J].医学信息,2021,34(06):180-182.[doi:10.3969/j.issn.1006-1959.2021.06.049]
　SHI Ming-xia,YU Ping,TANG Ying,et al.Study on the Effect of Skin Contact on Mother and Child[J].Medical Information,2021,34(06):180-182.[doi:10.3969/j.issn.1006-1959.2021.06.049]
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母婴皮肤接触对母婴影响的研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年06期
页码:
180-182
栏目:
护理研究
出版日期:
2021-03-15

文章信息/Info

Title:
Study on the Effect of Skin Contact on Mother and Child
文章编号:
1006-1959（2021）06-0180-03
作者:
史明霞; 余 苹; 汤 颖; 等
（南京医科大学附属妇产医院产房，江苏 南京 210000）
Author(s):
SHI Ming-xia; YU Ping; TANG Ying; et al.
(Delivery Room,Affiliated Obstetrics and Gynecology Hospital of Nanjing Medical University,Nanjing 210000,Jiangsu,China)
关键词:
皮肤接触; 新生儿体温; 心率; 血糖; 产后出血
Keywords:
Skin contact; Neonatal body temperature; Heart rate; Blood sugar; Postpartum hemorrhage
分类号:
R72
DOI:
10.3969/j.issn.1006-1959.2021.06.049
文献标志码:
A
摘要:
目的 观察新生儿娩出后即刻与产妇皮肤接触持续90 min对新生儿体温、心率、血糖以及产后出血量的影响。方法 将南京市妇幼保健院2020年1月~6月自然分娩的80例产妇按随机数字表法分为观察组和对照组，各40例。观察组新生儿全身擦干置于腹部进行早期皮肤接触，断脐后保持接触90 min后给予新生儿常规护理。对照组新生儿断脐处理后行皮肤接触30 min，予以常规护理。比较两组新生儿的体温、心率、血糖以及产后出血量的情况。结果 两组新生儿出生时体温比较，差异无统计学意义（P＞0.05）；观察组在60 min和120 min时体温高于对照组，且观察组体温波动较小，差异有统计学意义（P＜0.05）；观察组新生儿心率在30 min和90 min时低于对照组，且波动程度较小，逐渐趋向于平稳，差异有统计学意义（P＜0.05）；观察组新生儿血糖优于对照组，差异有统计学意义（P＜0.05）；两组产后2 h出血量比较，差异无统计学意义（P＞0.05）。结论 产后立即皮肤接触持续90 min有益于维持新生儿体温、心率、血糖，减少产妇一定的产后出血量。
Abstract:
Objective To observe the effect of the newborn’s skin contact with the parturient for 90 minutes immediately after delivery on the newborn’s body temperature, heart rate, blood sugar and postpartum hemorrhage.Methods 80 parturients who gave birth naturally from January to June 2020 in Nanjing Maternity and Child Health Hospital were divided into observation group and control group according to the random number table method, with 40 cases in each group.The newborns in the observation group were wiped and placed on the abdomen for early skin contact. After the umbilical cord was broken, the newborns were kept in contact for 90 min and then given routine care.The newborns in the control group received skin contact for 30 min after the umbilical cord was broken and received routine care.The body temperature, heart rate, blood sugar and postpartum hemorrhage of the two groups of newborns were compared.Results There was no statistically significant difference in body temperature between the two groups of newborns at birth (P>0.05);The body temperature of the observation group was higher than that of the control group at 60 min and 120 min, and the body temperature fluctuation of the observation group was small, the difference was statistically significant (P<0.05);The heart rate of newborns in the observation group was lower than that of the control group at 30 min and 90 min, and the fluctuation degree was small, gradually tending to be stable,the difference was statistically significant(P<0.05);The blood glucose of newborns in the observation group was better than that of the control group,the difference was statistically significant (P＜0.05);There was no significant difference in the amount of bleeding between the two groups at 2 h postpartum (P>0.05).Conclusion Skin contact immediately after delivery for 90 min is beneficial to maintain the newborn’s body temperature, heart rate, and blood sugar, and reduce the amount of postpartum hemorrhage.

参考文献/References:

[1]中华医学会围产医学分会,中华护理学会妇产科专业委员会,中国疾病预防控制中心妇幼保健中心.新生儿早期基本保健技术的临床实施建议(2017年,北京)[J].中国综合临床,2018,34(1):5-8. [2]赵伟.不同母婴接触持续时间对新生儿体温和母乳喂养的影响[J].全科护理,2020,18(15):1878-1880. [3]翟聪利,孙慧娜,毛竹香,等.母婴皮肤接触持续时间对新生儿影响的研究[J].中华护理杂志,2018,53(12):1419-1423. [4]吴祝凤,殷彩欣,徐琼,等.母婴皮肤接触方法及实施现状[J].护理学报,2019,26(1):36-39. [5]路简羽,王晶,包艾荣,等.新生儿皮肤接触相关研究进展[J].循证护理,2019,5(7):604-607. [6]黄蓉,万宏伟,杨中复.再起持续皮肤接触促进初产妇母乳喂养启动的研究[J].中国现代护理杂志,2016,22(13):1787-1791. [7]杨漂羽,施姝澎,张玉侠,等.住院新生儿母乳喂养循证指南的改编及评价[J].中华护理杂志,2018,53(1):57-64. [8]梁秋霞,符白玲,殷彩欣,等.早期母婴皮肤接触对新生儿睡眠、母乳喂养及母亲子宫复旧的影响[J].护士进修杂志,2019,34(22):2076-2078. [9]吴小花,徐红贞,俞君,等.新生儿体温测量方法及肛温测量时间的研究[J].护理与康复,2018,17(10):54-56 [10]周彩玲,戴锦,叶梅玲.新生儿低血糖性脑损伤特征及危险因素分析[J].中国医院统计,2018,25(2):93-95. [11 ]Grummer-Strawn LM,Zehner E,Stahlhofer M,et al.New World Health Organization Guidance Helps Protect Breast-feeding as a Human Right[J].Matern Child Nutr,2017,13(4):e12491. [12]Gomez-Pomar E,Blubaugh R.The Baby Friendly Hospital Initiative and the Ten Steps for Successful Breastfeeding:A Critical Review of the Literature[J].J Perinatol,2018,38(6):623-632. [13]张小玲.100例宫缩乏力性产后出血的护理[J].实用妇科内分泌电子杂志,2017,4(21):160,163.

更新日期/Last Update: 1900-01-01