保温箱内蓝光治疗早产儿黄疸时体温调节的护理

Nursing of body temperature regulation for premature infants of jaundice receiving blue phototherapy in incubator

目的：探讨早产儿黄疸暖箱内蓝光治疗时体温变化及干预措施。方法：对60例早产儿随机分成干预组和对照组,干预组在蓝光治疗前测量体温一次,当体温在36.5-37.5℃,降低暖箱温度1℃,〈36.5℃,降低暖箱温度0.5℃;对照组直接进行蓝光治疗。观察两组在蓝光治疗期间发热的发生率。结果：干预组发热的发生率20.0%,对照组66.7%。差异有统计学意义（P〈0.005）。结论：早产儿在蓝光治疗时根据蓝光治疗前测量的体温来调节暖箱的温度,可有效的降低早产儿光疗时发热的发生率。

Objective：To explore the role of interfering the body temperature of premature infants receiving blue phototherapy in incubator. Methods： Sisty prematures in our hospital were randomly divided into intervention group and control group. The body temperature（T） of the intervention group was taken before blue phototherapy. When the T was between 36.5 ℃ and 37.5 ℃ , the incubator temperature was decreased 1 ℃ ;when the T was 〈 36.5 ℃ , the incubator temperature was decreased 0.5 ℃ ;The control group were given blue phototherapy directly. The febrile incidence between the two groups was observed during the treatment. Results： The febrile incidences of the two groups were 20% and 66.7% , respectively, with statistic difference （ P 〈 0. 005 ）. Conclusions： Regulating the incubator temperature in accordiance to the prematures＇ temperature taken before blue phototherapy can effectively decrease the incidence of febrile.