母婴皮肤接触对母婴影响的研究

Study on the Effect of Skin Contact on Mother and Child

目的观察新生儿娩出后即刻与产妇皮肤接触持续90 min对新生儿体温、心率、血糖以及产后出血量的影响。方法将南京市妇幼保健院2020年1月~6月自然分娩的80例产妇按随机数字表法分为观察组和对照组,各40例。观察组新生儿全身擦干置于腹部进行早期皮肤接触,断脐后保持接触90 min后给予新生儿常规护理。对照组新生儿断脐处理后行皮肤接触30 min,予以常规护理。比较两组新生儿的体温、心率、血糖以及产后出血量的情况。结果两组新生儿出生时体温比较,差异无统计学意义(P>0.05);观察组在60 min和120 min时体温高于对照组,且观察组体温波动较小,差异有统计学意义(P<0.05);观察组新生儿心率在30 min和90 min时低于对照组,且波动程度较小,逐渐趋向于平稳,差异有统计学意义(P<0.05);观察组新生儿血糖优于对照组,差异有统计学意义(P<0.05);两组产后2 h出血量比较,差异无统计学意义(P>0.05)。结论产后立即皮肤接触持续90 min有益于维持新生儿体温、心率、血糖,减少产妇一定的产后出血量。

Objective To observe the effect of the newborn's skin contact with the parturient for 90 minutes immediately after delivery on the newborn's body temperature,heart rate,blood sugar and postpartum hemorrhage.Methods 80 parturients who gave birth naturally from January to June 2020 in Nanjing Maternity and Child Health Hospital were divided into observation group and control group according to the random number table method,with 40 cases in each group.The newborns in the observation group were wiped and placed on the abdomen for early skin contact.After the umbilical cord was broken,the newborns were kept in contact for 90 min and then given routine care.The newborns in the control group received skin contact for 30 min after the umbilical cord was broken and received routine care.The body temperature,heart rate,blood sugar and postpartum hemorrhage of the two groups of newborns were compared.Results There was no statistically significant difference in body temperature between the two groups of newborns at birth(P>0.05);The body temperature of the observation group was higher than that of the control group at 60 min and 120 min,and the body temperature fluctuation of the observation group was small,the difference was statistically significant(P<0.05);The heart rate of newborns in the observation group was lower than that of the control group at 30 min and 90 min,and the fluctuation degree was small,gradually tending to be stable,the difference was statistically significant(P<0.05);The blood glucose of newborns in the observation group was better than that of the control group,the difference was statistically significant(P<0.05);There was no significant difference in the amount of bleeding between the two groups at 2 h postpartum(P>0.05).Conclusion Skin contact immediately after delivery for 90 min is beneficial to maintain the newborn's body temperature,heart rate,and blood sugar,and reduce the amount of postpartum hemorrhage.