皮肤孵化器:一种新型的培养箱,用于早产儿的皮肤到皮肤护理(SSC),使SSC在潮湿的环境中,并可能改善SSC期间的体温调节。

IF 1.2 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
American journal of perinatology Pub Date : 2025-10-01 Epub Date: 2025-01-31 DOI:10.1055/a-2526-5064
Itamar Nitzan, Yair Kasirer, Francis B Mimouni, Tehilla Kagan, Alona Bin Nun, Tali B Weiss, Robert D White, Cathy Hammerman
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引用次数: 0

摘要

目的:评估恒温箱内的温度调节和湿度-一种新型的,可穿戴的恒温箱,设计用于皮肤对皮肤的护理人员,她/他的胸部和婴儿之间没有任何屏障。方法:胎龄(GA) 28 ~ 33周,或胎龄(GA) 24 ~ 28周(DOL) 4龄的早产儿,分别在皮肤培养箱中接受SSC和传统SSC,并连续监测腋窝温度。结果:20例PN纳入研究并在Skincubator中治疗。一对同意在分娩时进行Skincubator护理的夫妇不同意在NICU进行Skincubator护理,因此将婴儿排除在配对Skincubator和t-SSC分析之外。对19名婴儿进行54次Skincubator和t-SCC配对试验并进行比较。平均GA为29周(范围26 ~ 32);平均体重-1296±271 g,平均DOL 5±2。转移到Skincubator护理后的温度下降小于t-SSC(0.2ºC (0.2-0.3) vs 0.4ºC (0.3-0.6) (Wilcoxon Singed Rank检验(WSRT))。结论:Skincubator SSC可能优于t-SSC在维持PN温度的同时保持湿润环境。皮肤孵化器可以促进非常和极端PN的早期SSC。试验注册号MOH_2021-12-13_010470注册日期24/10/21。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Skincubator: A Novel Incubator for Skin-to-Skin Care (SSC) of Premature Neonates, Enables SSC within Humidified Environment and May Improve Thermoregulation during SSC.

This study aimed to assess thermoregulation and humidity within the Skincubator-a novel, wearable skin-to-skin incubator designed to attach to the caregiver.Preterm neonates (PN; born between 24 and 33 weeks gestational age [GA]) received skin-to-skin care (SSC) either via the Skincubator or traditional SSC (t-SSC) with continuous axillary temperature monitoring.Twenty PN were enrolled in the study and treated in the Skincubator. One couple who consented to Skincubator care during delivery subsequently revoked their consent and the baby was excluded from further analysis. Fifty-four paired sessions of Skincubator and t-SCC were performed and compared for 19 babies. The average GA was 29 weeks (range: 26-32), the average weight was -1,296 ± 271 g, and the average day of life was 5 ± 2. The temperature drop after transfer to Skincubator care was smaller than in t-SSC (0.2°C [0.2-0.3] vs. 0.4°C [0.3-0.6]; Wilcoxon's signed rank test [WSRT], p < 0.001). The average hypothermia time per session was a median (25th-75th%) of 8.2 minutes (0-9) for Skincubator, compared to 27.8 minutes (0-56) for t-SSC, respectively (WSRT, p = 0.002). No baby had moderate hypothermia (35.5-35.9°C) during Skincubator care as compared with eight babies who experienced moderate hypothermia during t-SSC (Fisher's exact test p = 0.003). The average Skincubator humidity was 85 ± 7% and was above 70% during 93% of the time.Skincubator SSC was superior to t-SSC in maintaining PN temperature while also maintaining an optimally humidified environment. The Skincubator may promote early SSC in very and extremely PN. (Trial registration number MOH_2021-12-13_010470 registration date 24/10/21.) · Early prolonged SSC improves preterm infants' outcomes but may be challenging to perform.. · To mitigate several SSC barriers we invented the Skincubator, a wearable incubator for SSC.. · We have shown that the Skincubator reduces transient moderate hypothermia at SSC initiation.. · Average Skincubator humidity was 85 ± 7% and above 70% during 93% of SSC time..

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来源期刊
American journal of perinatology
American journal of perinatology 医学-妇产科学
CiteScore
5.90
自引率
0.00%
发文量
302
审稿时长
4-8 weeks
期刊介绍: The American Journal of Perinatology is an international, peer-reviewed, and indexed journal publishing 14 issues a year dealing with original research and topical reviews. It is the definitive forum for specialists in obstetrics, neonatology, perinatology, and maternal/fetal medicine, with emphasis on bridging the different fields. The focus is primarily on clinical and translational research, clinical and technical advances in diagnosis, monitoring, and treatment as well as evidence-based reviews. Topics of interest include epidemiology, diagnosis, prevention, and management of maternal, fetal, and neonatal diseases. Manuscripts on new technology, NICU set-ups, and nursing topics are published to provide a broad survey of important issues in this field. All articles undergo rigorous peer review, with web-based submission, expedited turn-around, and availability of electronic publication. The American Journal of Perinatology is accompanied by AJP Reports - an Open Access journal for case reports in neonatology and maternal/fetal medicine.
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