新生儿出生后置于不同体位擦干的效果研究
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女,本科,主任护师

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国家自然科学基金青年项目(72204123);江苏省妇幼保健课题项目(FYX202014);南京市卫生科技发展专项资金项目(YKK21162)


Study on the effect of placing neonates in different body positions immediately after birth for drying
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    摘要:

    目的 探讨新生儿出生后以不同体位置于母体腹部擦干对新生儿结局的影响。方法 采取前瞻性类实验设计,将2024年3-4月自然分娩的足月新生儿356例分为三组:仰卧位组132例,在新生儿出生后立即仰卧置于母亲腹部擦干;侧卧位组108例,在新生儿出生后立即左/右侧卧置于母亲腹部擦干;俯卧位组116例,在新生儿出生后立即俯卧(头偏向一侧)置于母亲腹部擦干。三组出生后均不常规口鼻咽吸引。比较三组新生儿擦干时间、呛咳次数、必要时吸引率、新生儿复苏率、Apgar评分和转入NICU或新生儿病房率。结果 三组呛咳次数、必要时吸引率、新生儿复苏率比较,差异有统计学意义(均P<0.05);其中,仰卧位组新生儿呛咳次数、必要时吸引率、复苏率显著高于侧卧、俯卧位组(均P<0.05);侧卧位组与俯卧位组新生儿各指标比较,差异无统计学意义(均P>0.05)。结论 新生儿出生后立即以侧卧、俯卧位相较于仰卧位置于母亲腹部擦干,有利于减少呛咳次数,降低必要时吸引率和分娩时新生儿复苏率。

    Abstract:

    Objective To investigate the effect of placing neonates in different body positions on the mother′s abdomen immediately after birth for drying on neonatal outcomes.Methods A prospective quasi-experimental design was employed.A total of 356 full-term neonates born via vaginal delivery in March through April 2024 were divided into 3 groups:the supine group (n=132), where neonates were immediately placed in the supine position on the mother′s abdomen for drying; the lateral group (n=108), where neonates were placed on their left or right side on the mother′s abdomen for drying; and the prone group (n=116), where neonates were placed in the prone position (with the head turned to one side) on the mother′s abdomen for drying.Routine suctioning of the mouth and nasal passages was not performed.The three groups were compared in terms of drying time, incidence of coughing, suctioning rates when necessary, neonatal resuscitation rates, Apgar scores at 1 minute, and rates of transfer to the NICU or neonatal ward.Results Significant differences were found between the 3 groups in terms of coughing incidence rates, suctioning rates when necessary, neonatal resuscitation rates (all P<0.05).Specifically, the supine group had significantly higher coughing incidence rates, suctioning rates when necessary, and resuscitation rates compared to both the lateral and prone groups (all P<0.05).No significant differences were found between the lateral and prone groups for any of the outcomes (all P>0.05).Conclusion Drying neonates in the lateral or prone position on the mother′s abdomen immediately after birth is more beneficial than the supine position in reducing the incidence of coughing, lowering suctioning rates when necessary, and decreasing the need for neonatal resuscitation.

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孙立琴,朱青,王岚,李六兰.新生儿出生后置于不同体位擦干的效果研究[J].护理学杂志,2025,(1):27-30

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  • 收稿日期:2024-07-29
  • 最后修改日期:2024-10-30
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  • 在线发布日期: 2025-02-10