早产儿不同体位护理对其心肺功能及睡眠的影响

Effect of different body positions on cardio- pulmonary function and sleep in preterm infants

目的评价早产儿取不同体位对其心率（HR）、呼吸、平均动脉压（MAP）、经皮血氧饱和度（SpO2）及睡眠的影响。方法选择2009年8月至2010年8月我院新生儿科收治的90例早产儿为研究对象，随机分为0°仰卧位组、0°俯卧位组、0°侧卧位组及30。仰卧位组、30°俯卧位组、30°侧卧位组。各组在常规护理基础上，分别观察1，2，3，4，5，6h的HR、呼吸、MAP、SpO2及睡眠时间。结果第3-6小时0°俯卧位组、30°俯卧位组患儿HR、呼吸低于0°仰卧位组、30°仰卧位组、0°侧卧位组、30°侧卧位组，而SpO2、睡眠时间增加。结论俯卧位对早产儿生长发育有益处，值得推广。

Objective To evaluate the effects of different body position on the heart rate,respiratory rate,average arterial pressure,SpO2 and sleep in preterm infants. Methods 90 preterm infants from August 2009 to August 2010 in our Neonates Division were randomly divided into 0° supine group,0° prone group,0° tilt group、30° supine group、30° prone group,30°tih group. The heart rate,respiratory rate,SpO2,averagc arterial pressure and sleep time were recorded at 1 h,2 h,3 h,4 h,5 h,6 h. Results At 3-6h the heart rate,respiratory rate in 0°prone group and 30°prone group were significantly lower than those in 0°supine group ,30°supine group,0°tilt group and 30°tilt group. The SpO2 and sleep time were significantly higher in 0°prone group ,30°prone group than those in 0°supine group, 30°supine group,0°tilt group and 30°tilt group. Conclusions Prone position had physiological benefits for infants, which is worthy of promotion.