何芳 韩丽丽 黄醒华 张巍 何芳 韩丽丽 100006 北京市妇女保健所；黄醒华 张巍 北京市妇产医院 中华围产医学杂志 1998 0 1 3


    关键词：婴儿；新生；低温 期刊 zhwcyxzz 0 论 著 fur -->


    

【摘要】 目的 探讨新生儿生后72小时内的体温调节情况，证实WHO暖链的重要性。 方法 1995年春、夏、冬三季在本院分娩的新生儿302例于生后脐带处理完毕，回休养室即刻，1，2，4，6，8，10，12，14，16，18，20，22，24，48及72小时测腋下体温，共17次，观察各时间段体温的变化。 结果 平均体温达到36.5℃的时间为春季生后10小时，夏、冬季生后14小时。夏季生后2小时低体温率达95%以上，冬季生后6小时仍有97.2%低体温新生儿。随生后时龄增加，低体温率逐渐下降。但生后72小时，春夏冬三季低体温率仍分别高达16.0%，34.1%，27.7%。 结论 降低新生儿寒冷损伤不仅是农村医院，而且也是大城市医院的重要任务，关键是医护人员对低体温新生儿的影响要有足够的认识。

    The Investigation of Neonatal Body Temperature in the First 72Hours After Birth He Fang,Han Lili,Huang Xingha et al. Beijing MaternalHealth Institute， 100006

    【Abstract】 Objective To comfirm the importance of WHO “warmchain” by investigating neonatal body temperature after birth. Methods Axillarytemperatures of 302 neonates born in our hospital in spring, summer and winter of 1995were monitored immediately after cord ceased and 1,2,4,6,8,10,12,14,16,18,20,22,24,48, and72 hours after birth. The incidence of low body temperature in each time was calculated. Resultes Thetime after birth that average body temperature need to reach 36.5℃ was ten hours inspring, 14 hours in summer and winter. The incidence of low body temperature at 2 hoursafter birth in summer was 95%, at 6 hours in winter was 97%. The incidence of low bodytemperature at 72 hours were still 16% in spring, 34.1% in summer and 27.7% in winterrespectively. Conclusion Key point in carrying out “warm chain”is to enhance the responsibility of medical staff not only in rural hospitals,but also inurban hospitals.

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