摘要
目的评价应用外源性保暖垫对早产儿体温的影响。方法检索SinoMed、万方、中国知网、维普、PubMed、Embase、Web of Science数据库，收集采用外源性保暖垫用于早产儿分娩后保暖的随机或半随机对照试验，检索时间从建库到2017年4月。采用RavMan5．3软件进行统计处理。结果共纳入文献4篇，Meta分析结果显示，使用外源性保暖垫能提高胎龄不足28周的早产儿转入新生儿重症监护室的平均体温（随机效应模型，加权均数差0．64，95％CI为0．04—1．24，P=0．04），但同时会增加高体温的发生率（固定效应模型，优势比为3．18，95％凹为1．30～7．77，P=0．01）。结论使用外源性保暖垫用于早产儿的保暖，可以改善其转入新生儿重症监护室的平均体温，但使用时需要严密观察，防止高体温的发生。
Objective To evaluate the effects of exothermic mattress to prevent hypothermia in preterm infants. Methods SinoMed, Wanfang data, CNKI, VIP, PubMed, Embase and Web of Science were searched to collect relevant randomized or quasi randomized controlled trials on application of exothermic mattress to prevent hypothermia in preterm infants from database establishment to April 2017. A Meta-analysis was conducted by using RevMan 5.3 software. Results Four studies were included. The Meta-analysis showed that application of exothermic mattress significantly improved admission temperature in neonatal intensive care unit for infants less than 28 weeks （random effect model, weighted mean difference was 0.64, 95% CI 0.04-1.24, P=0.04） and increased risk of hyperthermia （fixed effect model, odds ratio was 3.18, 95% CI 1.30-7.77, P=0.01）. Conclusions Exothermic mattress is efficacious in improving admission temperature for preterm infants.
出处
《中国实用护理杂志》
2017年第35期2788-2791,共4页
Chinese Journal of Practical Nursing
关键词
早产儿
保暖垫
META分析
Preterm infant
Exothermic mattress
Meta-analysis
