ÖZET
Amaç:
Bu çalışma, solunum desteği alan erken doğmuş yenidoğanlarda sırtüstü ve yüzüstü pozisyon önceliğinin oksijen satürasyonu ve kalp hızı üzerindeki etkisini değerlendirmek için tasarlanmıştır.
Yöntemler:
Bu çalışma randomize kontrollü bir çalışmadır. Doğum sonrası en fazla yedi günlük olan ve klinik olarak stabil olan, solunum desteği alan preterm yenidoğanlar dahil edildi. Örnek grubunu oluşturan 38 preterm yenidoğan öncelik sırasına göre iki gruba randomize edildi: Grup 1 [sırtüstü/yüzüstü (S/P)], Grup 2 [yüzüstü/sırtüstü (P/S)].
Bulgular:
Grup 2’deki (S/P) erken doğmuş yenidoğanların ortalama oksijen satürasyonu, Grup 1’dekilere (S/P) göre anlamlı derecede yüksek bulundu. Grup 1’deki yenidoğanların ortalama kalp hızlarının sırtüstü pozisyonda Grup 2’dekilere göre anlamlı derecede düşük olduğu belirlendi.
Sonuç:
Solunum desteği alan preterm yenidoğanlara ilk önce yüzüstü pozisyonu daha sonra sırtüstü pozisyonu verilmesi oksijen satürasyonunu artırır.
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