游泳时不同水温对新生儿的影响

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目的探讨新生儿游泳的最适水温。方法将388例参加游泳的正常新生儿按分娩顺序分为观察组(水温36.5℃)200例,对照组(水温38℃)188例,观察记录两组新生儿每日游泳后第1次进奶量、游泳后第1次睡眠时间、游泳后6d体重的改变,并观察两组新生儿对游泳的适应性。结果新生儿出生后6d游泳后第1次进奶量,观察组每次为(35.42±1.25)ml,对照组为(29.87±2.27)ml(P<0.01),差异有统计学意义。游泳后第1次睡眠时间,观察组为(185.67±16.76)min,均为自醒。对照组为(234.47±21.87)min,部分需唤醒。差异有统计学意义(P<0.01)。游泳后6d观察组体重增加值为(82.68±19.45)g,对照组为(44.13±13.24)g,两组差异有统计学意义(P<0.01)。游泳活动的适应性:观察组新生儿游泳全过程顺利,无1例因哭闹而终止游泳,对照组有9例新生儿因哭闹不止而终止游泳,对游泳的接受率较观察组低。观察组有2例表现不安,对照组完成游泳的179例中有78例表现不安,新生儿游泳安静率观察组明显高于对照组(χ2=102.82,P<0.01)。结论新生儿游泳选择36.5℃的水温较38℃的水温更有益于新生儿的生长发育。 Objective To explore the optimal temperature for neonatal swimming. Methods A total of 388 normal newborns participating in swimming were divided into observation group (water temperature 36.5 ℃) 200 cases and control group (water temperature 38 ℃ 188 cases) according to the delivery order. The first group of newborns Amount, the first sleep time after swimming, weight change 6 days after swimming, and to observe the adaptation of the two groups of newborns to swimming. Results After neonatal 6 days after swimming, the amount of milk was the first time after swimming, the observation group was (35.42 ± 1.25) ml and the control group was (29.87 ± 2.27) ml (P <0.01), the difference was statistically significant. The first sleep time after swimming, the observation group was (185.67 ± 16.76) min, all from the awake. The control group (234.47 ± 21.87) min, part of the need to wake up. The difference was statistically significant (P <0.01). At 6 days after swimming, the body weight gain of the observation group was (82.68 ± 19.45) g, while that of the control group was (44.13 ± 13.24) g. The difference between the two groups was statistically significant (P <0.01). Adaptability of swimming activities: The observation group, the whole process of neonatal swimming smoothly, no one due to crying and termination of swimming, the control group of 9 newborns terminated because of crying more than swimming, the acceptance rate of swimming lower than the observation group. In the observation group, 2 patients were uneasy. In the control group, 78 of 179 patients completed the swimming disorder. The neonatal swimming rate was significantly higher in the observation group than in the control group (χ2 = 102.82, P <0.01). Conclusion The choice of 36.5 ℃ water temperature for neonatal swimming is more beneficial to neonatal growth and development than that of 38 ℃ water temperature.
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