【摘要】 目的 探讨六西格玛（6σ）精益管理对极/超低出生体重儿生长代谢及并发症的影响。方法 选取2019年10月至2021年9月江苏省南通市妇幼保健院新生儿科收治的84例极/超低出生体重儿为研究对象，采用随机数字表法将其分为对照组和观察组，各42例。对照组行常规护理，观察组在此基础上行6σ精益管理。观察两组患儿出生时，住院7、14 d，出院14 d及出院30 d生长代谢和并发症发生率。结果 整体分析发现，组间、时间点间及交互作用体重、经口热卡比较，差异均有统计学意义（P<0.05）。进一步两两比较，组内比较：两组患儿各时间点体重、经口热卡比较，差异均有统计学意义（P<0.05）；组间比较：观察组患儿住院7、14 d，出院14 d及出院30 d时体重、经口热卡水平均高于对照组（P<0.05）；两组患儿并发症总发生率比较，差异无统计学意义（P>0.05）。结论 6σ精益管理可提高极/超低出生体重儿生长代谢水平，而对并发症发生风险的影响还待考证。更多还原

【Abstract】 Objective To investigate the effects of six Sigma lean management on growth metabolism and complications of extremely/extra-low birth weight infants. Methods A total of 84 extremely/extra-low birth weight infants admitted to the Department of Neonatology, Nantong Maternal and Child Health Hospital in Jiangsu Province from October 2019 to September 2021 were selected as the study subjects, and they were divided into control group and observation group by random number table method, with 42 cases in each group. The control group received routine care, and the observation group received six Sigma lean management on this basis. The growth metabolism and complication rates of the two groups were observed at birth, 7, 14 days after hospitalization, 14 days after discharge and 30 days after discharge. Results Overall analysis, there were statistically significant differences in body weight and oral intake calorie intergroup, time point, and interaction(P <0.05); further pair-wise comparison, and intra-group comparison: there were statistically significant differences in body weight and oral intake calorie between the two groups at each time point(P<0.05); comparison between groups: the body weight and the level of oral intake calorie in observation group were higher than those in control group at 7and 14 days in hospital and 14 and 30 days after discharge(P<0.05). There was no significant difference in the total incidence of complications between the two groups(P>0.05). Conclusion Six Sigma management can improve the growth metabolism of extremely/extra-low birth weight infants, and its effect on the risk of complications has been demonstrated.更多还原