应用“鸟巢”护理早产儿的临床研究

目的探讨“鸟巢”对早产儿的生命体征、胃肠功能、体质量及生长发育的影响。方法将456例早产儿按出生单双号随机分为暖箱组和鸟巢组各228例。暖箱组采用常规护理，鸟巢组在常规护理基础上加用“鸟巢”护理，即在暖箱内加放“鸟巢”，让早产儿睡在预热的“鸟巢”内，比较2组早产儿的情况。结果出生第1天，2组在呼吸、心率、进奶量、体质量方面比较差异无统计学意义（P〉0．05）。出生后第7，14天，鸟巢组早产儿呼吸、心率平稳，奶量和体质量增加快，与暖箱组比较差异有统计学意义（P〈0．05）。鸟巢组早产儿睡眠时间长，减少了体温波动，住院时间短，与暖箱组比较差异有统计学意义（P〈0．01）。结论早产儿使用“鸟巢”后，可促进疾病恢复，缩短了住院天数，有利于早产儿智力和身心发育。

Clinical effects of bird＇s nest nursing on premature infants

Objective To study the effect of bird＇s nest nursing on the vital signs, gastroenteric function, body weight and growth of premature infants. Methods 456 cases of premature infants were divided into the warm box group and the bird＇s nest group randomly according to odd and even number of birth, namely 228 cases in each group. The warm box group adopted routine nursing care. The bird＇s nest group adopted routine nursing care and bird＇s nest nursing in the mean time, namely the bird＇s nest was put into the warm box, the premature infants slept in the pre-heated bird＇s nest. The condition of the two groups was compared. Results On the first day of birth, there were no statistical difference （P 〉 0.05） between the two groups in respiration, heart rate, milk amount and body weight. On the seventh and fourteenth day, respiration and heart rate were stable and milk amount and body weight increased rapidly in bird＇s nest group. There was statistical difference （P 〈 0.05） between the two groups. In bird＇s nest group, the premature had long sleeping time and body temperature-fluctuation was reduced. There was statistical differ- encere （P 〈 0.01 ） between the two groups. Conclusions After the bird＇s nest was used in premature care, diseases were recovered rapidly, hospitalization days were shortened and it was beneficial to the development of intelligence and body and mind of the premature infants.