专家点评

重视早产儿低体温的临床管理:循证依据与实践

  • 刘江勤
展开
  • 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

  网络出版日期: 2026-02-02

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

  • LIU Jiangqin
Expand
  • Department of Neonatology, Shanghai First Maternity and Infant Hospital, Shanghai 201204, China

Received date: 2025-12-01

  Accepted date: 2025-12-15

  Online published: 2026-02-02

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。

本文引用格式

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 . DOI: 10.12372/jcp.2026.25e1508

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.

参考文献

[1] 李夏芸, 徐韬. 世界卫生组织新生儿早期基本保健技术的理论与实践[J]. 中华围产医学杂志, 2017, 20(9): 689-691.
  Li XY, Xu T. Theory and practice of World Health Organization recommended early essential newborn care[J]. Zhonghua Weichan Yixue Zazhi, 2017, 20(9): 689-691.
[2] Lunze K, Bloom DE, Jamison DT, et al. The global burden of neonatal hypothermia: systematic review of a major challenge for newborn survival[J]. BMC Med, 2013, 11: 24.
[3] Hogeveen M, Hooft L, Onland W. Hypothermia and adverse outcomes in very preterm infants: a systematic review[J]. Pediatrics, 2025, 155(5): e2024069668.
[4] Wilson E, Maier RF, Norman M, et al. Admission hypothermia in very preterm infants and neonatal mortality and morbidity[J]. J Pediatr, 2016, 175: 61-67.
[5] 沈艳青, 陈乡, 盛王涛, 等. 不同胎龄早产儿生后早期低体温危险因素及复温反应速度对其短期临床结局的影响:一项回顾性队列研究[J]. 临床儿科杂志, 2025, 43(12): 960-967.
  Shen YQ, Chen X, Sheng WT, et al. The influence of risk factors for early postnatal hypothermia and the speed of rewarming response on short-term clinical outcomes in preterm infants of different gestational ages: a retrospective cohort study[J]. Linchuang Erke Zazhi, 2025, 43(12): 960-967.
[6] Meyer MP, Hou D, Ishrar NN, et al. Initial respiratory support with cold, dry gas versus heated humidified gas and admission temperature of preterm infants[J]. J Pediatr, 2015, 166(2): 245-250.
[7] Lee HC, Strand ML, Finan E, et al. Part 5: neonatal resuscitation: 2025 American Heart Association and American Academy of Pediatrics Guidelines for cardiopulmonary resuscitation and emergency cardiovascular care[J]. Circulation, 2025, 152(16_suppl_2): S385-S423.
[8] McCall EM, Alderdice F, Halliday HL, et al. Interventions to prevent hypothermia at birth in preterm and/or low birth weight infants[J]. Cochrane Database Syst Rev, 2018, 2(2): CD004210.
[9] Abiramalatha T, Ramaswamy VV, Bandyopadhyay T, et al. Delivery room interventions for hypothermia in preterm neonates: a systematic review and network meta-analysis[J]. JAMA Pediatr, 2021, 175(9): e210775.
文章导航

/