重视早产儿低体温的临床管理：循证依据与实践

doi:10.12372/jcp.2026.25e1508

临床儿科杂志 ›› 2026, Vol. 44 ›› Issue (2): 158-160.doi: 10.12372/jcp.2026.25e1508

重视早产儿低体温的临床管理：循证依据与实践

刘江勤

上海市第一妇婴保健院新生儿科（上海 201204）

收稿日期:2025-12-01 录用日期:2025-12-15 出版日期:2026-02-15 发布日期:2026-02-02

Clinical management of hypothermia in preterm infants: evidence-based practice

LIU Jiangqin

Department of Neonatology, Shanghai First Maternity and Infant Hospital, Shanghai 201204, China

Received:2025-12-01 Accepted:2025-12-15 Published:2026-02-15 Online:2026-02-02

摘要/Abstract

摘要：

维持正常体温是早产儿护理的核心原则，低体温作为早产儿常见并发症，与不良临床结局密切相关。研究证实，区域内早产儿低体温发生率高达 73.2%，胎龄< 32周的极早产儿低体温风险尤为突出，且与母亲因素、分娩方式及产房环境密切相关。未来需强化产房保暖环境管理、识别低体温高危因素，对分娩过程中和分娩后的体温维持实施标准化管理，以进一步改善早产儿预后。

关键词: 低体温, 危险因素, 复温策略, 临床结局, 早产儿

Abstract:

Maintaining a normal body temperature is a core principle of preterm infant care during the delivery. Hypothermia, a common complication in preterm infants, is closely associated with adverse clinical outcomes. Studies have confirmed that the incidence of hypothermia in preterm infants is as high as 73.2%, with preterm infants born at a gestational age < 32 weeks being at particularly high risk. This condition is closely linked to maternal factors, mode of delivery, and delivery room environment. Future efforts should focus on strengthening the management of environments in delivery rooms, identifying high-risk factors for hypothermia, and implementing standardized body temperature maintenance during and after delivery to further improve the prognosis of preterm infants.

Key words: hypothermia, risk factors, rewarming strategy, clinical outcomes, preterm infant

中图分类号:

刘江勤. 重视早产儿低体温的临床管理：循证依据与实践[J]. 临床儿科杂志, 2026, 44(2): 158-160.

LIU Jiangqin. Clinical management of hypothermia in preterm infants: evidence-based practice[J]. Journal of Clinical Pediatrics, 2026, 44(2): 158-160.

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重视早产儿低体温的临床管理：循证依据与实践

Clinical management of hypothermia in preterm infants: evidence-based practice

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