【医学ppt课件】新生儿游泳教学规范-上篇（意大利国际会议手动演示）

1 ResearchonTechnicalDevelopmentandClinicalApplicationofNeonatalSwimming WaterTherapy TodayIamveryprivilegedtohavetheopportunitytointroducetoyoutheleadingdevelopmentofNeonatalSwimming WaterTherapy appliedinclinicalobstetricsinChina SZhao XZhang LXie XSun GHuang YYao JNiu JWen AffiliatedMaternalandChildren sHospitalofGuangzhouMedicalCollege MaternalandChildHealthHospitalofGuangdongProvince IwishtothankthePresidentoftheCongressanditisbothagreatpleasureandgreathonortobehereinFlorence Italy 2 intheEuropean Americansocietyduringthe60 s unabletobreaktheforbiddenbarrierfornewbornbabies BackgroundIntroduction TheNeonatalSwimming WaterTherapy isatotallynewandhealthyexercise ResearchcouldbetracedbacktotheemergingtrendintheEuropean Americansocietyduringthe60 s targetednormallytobabies6 8monthsandelder Inthespanof40yrs theoryhasmaturedandtechniquesprogressdaybydaybutunabletobreaktheforbiddenbarrierfornewbornbabies 3 Withspecializedswimmingliquid neonatalswimmingsafetybuoyfortheneck navelpadsproofagainstwaterandotherskilledandstrictpracticeandsupervision nonavelcordinfectionhassurfacedinthewholeprocess wemadeadvancesfrominfantstagetonewborns puttingnewbornsintotheNeonatalSwimming WaterTherapy Onthebasisofalotofpsychologyandphysiologyresearchesbothofthefetusandnewborns wemadeadvancesfrominfantstagetonewborns puttingnewbornsintotheNeonatalSwimming WaterTherapy specializedswimmingliquid neonatalswimmingsafetybuoyfortheneck 4 Theneonatalswimmingtherapyweraisedwasdoneinstages specialized conformingandundergoneskilledscientificguidance doneinstages specialized conformingandundergoneskilledscientificguidance Itisalsowell protectedandpreventiveandhasahealthyfitnessexercisewhichhasbeendiscussedbytheexpertsinChina 5 WenowpresentthefinalclinicalresultsdoneattheGuangdongProvincialMaternalandChildHealthHospitaland68otherhospitalsinthelast4yearsasfollowing doneinstages specialized conformingandundergoneskilledscientificguidance 6 RESEARCHOBJECTANDMETHOD 7 1 RESEARCHOBJECTS 7340neonatalswimmingcasesinGuangdongProvincialMaternal ChildHealthHospitalandother68hospitalsfromJan2003toApr2007hadbeenselectedanddividedintonewbornweightchangeandfirstdefecationtimegroupincluding5394cases newbornNBNAscoregroupincluding810casesandserumbilirubingroupincluding1136cases Themothersandnewbornsinthesegroupshadnocomplicationsorhighriskduringpregnancy andallnewborns Apgarscoreswerehigherthan8 8 2METHODSANDCONTENTS 2 1SuitableCandidate 1 FulltermnewbornsofCesareanorspontaneouslabor 2 Prematureinfantsof32to36weeksandthelow weightinfants Prematureinfantsof32to36weeksandthelow weightinfants 1800to2500gwithoutspecialmedicaltreatmentduringhospitalization FulltermnewbornsofCesareanorspontaneouslabor 9 3 Prematureinfantsandthelow weightinfants 2 2ProhibitedCandidate 1 NewbornswhoseApgarscoreswerelowerthan8 2 Newbornswhosufferedfromsicknessandneededmedicaltreatment NewbornswhoseApgarscoreswerelowerthan8 Newbornswhosufferedfromsicknessandneededmedicaltreatment Prematureinfants youngerthan32weeks andthelow weightinfants lighterthan1800g 10 2 3Attention Newbornswimmingbuoymustbecheckedforsafetybeforeusing 1 Newbornswimmingbuoymustbecheckedforsafetybeforeusing 11 Newbornsmustbetakencareofbyspecialistduringswimming 2 Newbornsmustbetakencareofbyspecialistduringswimming 12 Newbornnavelwereprotectedbypadproofagainstwater 3 Newbornnavelwereprotectedbypadproofagainstwater 13 4 Newborn smandibulamustbecheckedafterswimmingbuoywasputon Newborn smandibulamustbecheckedafterswimmingbuoywasputon 14 2 4RequiredCondition Roomtemperaturewascontrolledaround26to28degandwatertemperaturearound37to38deg 1 Roomtemperaturewascontrolledaround26to28degandwatertemperaturearound37to38deg 15 Swimmingandtouchinginwaterwasconductedhalftoonehraftermeal waterexercise Swimmingandtouchinginwaterwasconductedhalftoonehraftermeal waterexercise 16 2 Onlyapprovedbrandedbabiesswimmingbuoyandcleanpurifiedwaterwereused AtHome Onlyapprovedbrandedbabiesswimmingbuoyandcleanpurifiedwatercanbeused 17 3 Swimmingofeachnewbornwasconductedwithonesinglenurse onesinglepoolandonesinglemembranewithonlyonearmawayfromthenurse InHospital Swimmingofeachnewbornwasconductedwithonesinglenurse onesinglepoolandonesinglemembranewithonlyonearmawayfromthenurse 18 Newbornsswamtwiceadayfor10mineachtimeduringhospitalizationafterborn 4 NewbornsofspontaneousandCesareanlaborswamtwiceadayfor10mineachtimeduringhospitalization theformerstayinginhospitalfor5daysandthelaterfor7days 19 2 5MainDetails Newbornweight firstdefecationtime NBNAscoreandserumbilirubinlevelwererecorded Newbornweight firstdefecationtime NBNAscoreandserumbilirubinlevelwererecorded 20 2 6MainEquipment ShaoFeibrandmulti functionalneonatalswimmingbuoyandaffiliatedswimmingequipmentsrecommendedbybothPrenatologicalAssociationofChinaandPrioritizedScientificAssociationofChinawereused ShaoFeibrandmulti functionalneonatalswimmingbuoyandaffiliatedswimmingequipments 21 theneonatalbloodweretestedbysmallquantityblood bilirubintestingequipment andtheneonatalbloodweretestedbysmallquantityblood bilirubintestingequipment performedbyspecializedskilledpersonnelwithstrictoperation monitoringtotracethetotalserumbilirubinlevelwithlessthan12mg L 205 2umol L asnormalstandard 22 2 7NBNAScore Neonate sBehaviorNerveAssessment NBNA scoreofChinawasusedasthestandardofexaminationandscore fortotal20items Neonate sBehaviorNerveAssessment NBNA scoreofChinawasusedasthestandardofexaminationandscore withmaxim