ABSTRACT
<p><b>OBJECTIVE</b>To study the effect of golden-hour body temperature bundle management strategy on admission temperature and clinical outcome in preterm infants with a gestational age of <34 weeks after birth.</p><p><b>METHODS</b>The preterm infants who were born in the delivery room of the West China Second University Hospital of Sichuan University and admitted to the department of neonatology of this hospital within 1 hour after birth from December 2015 to June 2016 and from January to May, 2017 were enrolled. The 173 preterm infants who were admitted from January to May, 2017 were enrolled as the intervention group and were given golden-hour body temperature bundle management. The 164 preterm infants who were admitted from December 2015 to June 2016 were enrolled as the control group and were given conventional body temperature management.</p><p><b>RESULTS</b>The intervention group had a significantly higher mean admission temperature than the control group (36.4±0.4°C vs 35.3±0.6°C; P<0.001). The incidence rate of hypothermia on admission in the intervention group was significantly lower than that in the control group (56.6% vs 97.6%; P<0.001). The intervention group had a significantly lower incidence rate of intracranial hemorrhage within one week after admission than the control group (15.0% vs 31.7%; P<0.05).</p><p><b>CONCLUSIONS</b>Golden-hour body temperature bundle management for preterm infants within one hour after birth can reduce the incidence of hypothermia on admission and improve clinical outcome.</p>
ABSTRACT
Objective To compare the correlation between transcutaneous bilirubin(TcB) measurement and serum bilirubin (TSB) measurement at covered and exposed skin sites during phototherapy in neonates.Methods Two sites of exposed skin and two sites of covered skin were chosen to measure the transcutaneous bilirubin.The serum bilirubin was monitored at admission and during phototherapy,while the transcutaneous bilirubin was tested and recorded at the same time of monitoring the serum bilirubin.Results A total of 112 cases were included from January 29th to April 15th in 2016.At the four monitoring points during phototherapy,the differences between the transcutaneous bilirubin of the two exposed sites and the serum bilirubin were statistically significant (P＜0.01).For the covered site 4,there were no significant differences between transcutaneous bilirubin and serum bilirubin at every test point (P＞0.05).When the serum bilirubin was higher than 307.8 μmol/L (18mg/dl),the serum bilirubin measurement was larger than the transcutaneous bilirubin measurement.Conclusion The transcutaneous bilirubin level of covered skin was more close to serum bilirubin,especially when the covered median skin of the second rib was chosen to monitor the transcutaneous bilirubin.When the serum bilirubin was greater than 307.8 μmol/L(18mg/dl),the transcutaneous bilirubin couldn't represent serum bilirubin quite well.
ABSTRACT
Objective: To study the protective effect of total flavonoids from Carya cathayensis leaf on cultured H9C2 cardimyocytes during hypoxia / reoxygenation( H / R) injury. Methods: Co Cl2 was used to induce the H / R injury model in H9C2 cells at different concentrations,different H / R time. Total flavonoids from Carya cathayensis leaf was added into culture medium with final concentration of2. 5,5 and 10 µg / m L before H / R. Lactate dehydrogenase( LDH), Malondialdehyde( MDA) content, Superoxidedimutase( SOD) activity in the bathing medium were assayed for the evaluation of myocardial cell injury. Myocardial cell viability was detected by the MTS assay kit. Apoptotic changes in H9C2 cells were observed by using Hoechst-PI staining and flow cytometry analysis. The expression of HIF-1αprotein was detected by Western blot. Results: Using 1 200 µmol / L Co Cl2 to hypoxia the cells for 18 h and then reoxygenation for 2 h were the best condition of H / R injury model. Compared with model group,the cells treated with total flavonoids from Carya cathayensis leaf could decrease the activity of LDH and the content of MDA, while increased the activity of SOD. Moreover, they could regulate the expression of HIF-1α protein to normal level. Conclusion: It is suggested that total flavonoids from Carya cathayensis leaf has a protective effect on H9C2 cardiomyocyte during H / R injury. The mechanism may be relate to enhancing the capability of the cell clearing the oxygen free radial, decreasing the production of lipid peroxidation and reducing apoptosis.
