妊娠超过34周新生儿生命体征描述性研究的系统评价
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摘要
目的通过对文献系统性回顾研究,确定妊娠超过34周的新生儿出生2h后的生命体征参考范围。方法通过计算机检索方式,检索Pub Med、CINAHL、Embase、Elsevier、Cochrane、中国生物医学文献数据库、中国知网数据库、万方数据库以及维普数据库。根据纳入与排除标准筛选文献、提取资料并进行描述性系统分析。结果最终纳入12篇文献。通过文献分析得出了在新生儿转型期的34周内,对新生儿正常生命体征参数进一步健全研究的重要性和必要性。结论论证了进一步研究年龄匹配的新生儿早期预警工具可以提高其准确度和灵敏度。采取延长数据采集期进行前瞻性观察研究等方法能更准确地分析出妊娠超过34周新生儿正常生命体征的参考范围。
Objective By a systematic review of the literature to determine the reference range of vital signs after 2 hours of birth in a newborn over 34 weeks of pregnancy. Methods Through the computer search,search Pub Med \ CINAHL \ Embase \ Elseveir \ Cochrane \ Chinese Biomedical Literature Database,China Knowledge Network Database,Wanfang Database and VIP Database. Descriptive system analysis was performed by screening and extracting data based on inclusion and exclusion criteria. Results Finally,12 articles were included. Through literature analysis,it is concluded that the importance and necessity of further research on the parameters of normal vital signs of newborns within 34 weeks of neonatal transition. Conclusion It is demonstrated that further research on age-matched early warning tools for newborns can improve the accuracy and sensitivity of the period. Taking a prolonged data collection period for prospective observational studies and other methods can more accurately analyze the reference range of normal vital signs of newborns over 34 weeks of pregnancy.
Objective By a systematic review of the literature to determine the reference range of vital signs after 2 hours of birth in a newborn over 34 weeks of pregnancy. Methods Through the computer search,search Pub Med \ CINAHL \ Embase \ Elseveir \ Cochrane \ Chinese Biomedical Literature Database,China Knowledge Network Database,Wanfang Database and VIP Database. Descriptive system analysis was performed by screening and extracting data based on inclusion and exclusion criteria. Results Finally,12 articles were included. Through literature analysis,it is concluded that the importance and necessity of further research on the parameters of normal vital signs of newborns within 34 weeks of neonatal transition. Conclusion It is demonstrated that further research on age-matched early warning tools for newborns can improve the accuracy and sensitivity of the period. Taking a prolonged data collection period for prospective observational studies and other methods can more accurately analyze the reference range of normal vital signs of newborns over 34 weeks of pregnancy.
引文
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[22]Yiallourou S R,Sands S A,Walker A M,et al.Maturation of heart rate and blood pressure variability during sleep in term-born infants[J].Sleep,2012,35(2):177-186.
[23]Engle W A,Tomashek K M,Wallman C,et al.“Late-preterm”infants:a population at risk.[J].Pediatrics1,2007,120(6):1390-1401.
[24]Paliwoda M,New K,Bogossian F.Neonatal Early Warning Tools for recognising and responding to clinical deterioration in neonates cared for in the maternity setting:A retrospective case-control study[J].International Journal of Nursing Studies,2016,61:125-135.
[25]Kugelman A,Colin A A.Late preterm infants:near term but still in a critical developmental time period[J].Pediatrics,2013,132(4):741-751.
[26]Longin E,Gerstner T,Schaible T,et al.Maturation of the autonomic nervous system:differences in heart rate variability in premature vs.term infants[J].Journal of Perinatal Medicine,2006,87(4):193-308.
[27]Pillitteri A.Maternal&child health nursing:care of the childbearing and childrearing family[M].Lippincott,2007,31(2):257-258.
[2]Juvé-Udina M E,Fabrellas-Padrés N,Delgado-Hito P,et al.Newborn physiological immaturity:a concept analysis[J].Advances in Neonatal Care,2015,15(2):86-93.
[3]Buist M.Response to the Australian Commission on quality and safety in healthcare consensus statement;Essential elements for recognising and responding to clinical deterioration[J].Prescrire Les Psychotropes,2010:182-186.
[4]Paliwoda M,New K,Bogossian F.Neonatal early warning tools for recognising and responding to clinical deterioration in neonates cared for in the maternity setting:A retrospective case-control study[J].International Journal of Nursing Studies,2016,61:125-135.
[5]胡雁.循证护理学[M].北京:人民卫生出版社,2012:351.
[6]Sadoh W E,Sadoh A E.Normal oscillometric heart rate of term African infants in the early days of life[J].Annals of Tropical Paediatrics,2012,32(2):107-110.
[7]Tveiten L,Diep L M,Halvorsen T,et al.Respiratory rate during the first 24 hours of life in healthy term infants.[J].Pediatrics,2016,137(4):1-7.
[8]Takayama J I,Teng W,Uyemoto J,et al.Body temperature of newborns:what is normal[J].Clinical Pediatrics,2000,39(9):503-510.
[9]Samanta M,Mondal R,Ray S,et al.Normative blood pressure data for Indian neonates[J].Indian Pediatrics,2015,52(8):669-673.
[10]Kent A L,Kecskes Z,Shadbolt B,et al.Normative blood pressure data in the early neonatal period[J].Pediatric Nephrology,2007,22(9):1335-1341.
[11]Shah P S,Hakak H,Mohamed A,et al.Oxygen saturation profile in late-preterm and term infants:a prospective cohort study[J].Journal of Perinatology Official Journal of the California Perinatal Association,2014,34(12):917-920.
[12]Ravert P,Detwiler T L,Dickinson J K.Mean oxygen saturation in well neonates at altitudes between 4498 and 8150feet.[J].Advances in Neonatal Care Official Journal of the National Association of Neonatal Nurses,2011,11(6):412-417.
[13]Rsvik A,ymar K,Kvaly J T,et al.Oxygen saturation in healthy newborns;influence of birth weight and mode of delivery[J].Journal of Perinatal Medicine,2009,37(4):403-406.
[14]刘亚丽,李银萍,魏克伦,等.足月新生儿生后早期生命体征的动态观察[J].中国小儿急救医学,2016,23(6):422-424.
[15]魏克伦,孟宪英.新生儿心率正常值[J].中国医科大学学报,1986(1):73-74.
[16]陈莉亚,诸晓红,陈素萍.胎龄与生后日龄对新生儿血压的影响[J].中国基层医药,2008,15(12):2063-2064.
[17]Organization W H.Pregnancy,Childbirth,Postpartum and Newborn Care:A Guide for Essential Practice[J].2006.
[18]Gardner S,Carter B,Enzmanhines M,et al.Merenstein&Gardner’s Handbook of Neonatal Intensive Care[J].2016:113-133.
[19]Sinha S,Miall L,Jardine L,et al.Essential neonatal medicine[M].Essential neonatal medicine.Blackwell Pub.2008:1-313.
[20]Dasnadi S,Aliaga S,Laughon M,et al.Factors Influencing the accuracy of noninvasive blood pressure measurements in NICU Infants[J].Amer J Perinatol,2014,32(7):639-644.
[21]向娟,粟艳.改良早期预警评分在呼吸内科患者安全管理中的应用[J].当代护士(中旬刊),2016,7:184-186.
[22]Yiallourou S R,Sands S A,Walker A M,et al.Maturation of heart rate and blood pressure variability during sleep in term-born infants[J].Sleep,2012,35(2):177-186.
[23]Engle W A,Tomashek K M,Wallman C,et al.“Late-preterm”infants:a population at risk.[J].Pediatrics1,2007,120(6):1390-1401.
[24]Paliwoda M,New K,Bogossian F.Neonatal Early Warning Tools for recognising and responding to clinical deterioration in neonates cared for in the maternity setting:A retrospective case-control study[J].International Journal of Nursing Studies,2016,61:125-135.
[25]Kugelman A,Colin A A.Late preterm infants:near term but still in a critical developmental time period[J].Pediatrics,2013,132(4):741-751.
[26]Longin E,Gerstner T,Schaible T,et al.Maturation of the autonomic nervous system:differences in heart rate variability in premature vs.term infants[J].Journal of Perinatal Medicine,2006,87(4):193-308.
[27]Pillitteri A.Maternal&child health nursing:care of the childbearing and childrearing family[M].Lippincott,2007,31(2):257-258.
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