从婴儿到成年期的早产死亡率和后果的概述
1Department of Paediatrics, McMaster University, Hamilton, ON, Canada. saigal@mcmaster.ca
Lancet (London, England)
|January 22, 2008
概括
过早出生的婴儿面临长期的健康风险,包括发育和行为问题. 然而,大多数非常早产的婴儿很好地适应了成年期,将重点转移到预防脑损伤等并发症.
科学领域:
- 新生儿医学 新生儿医学
- 发育儿科 发育儿科
- 围产期健康 围产期健康
背景情况:
- 边缘活力的婴儿的生存率显著提高.
- 尽管生存率有所提高,但早产婴儿面临着相当大的短期和长期疾病.
- 发病率与妊娠年龄相反相关,没有一个妊娠年龄完全免于风险.
研究的目的:
- 为了突出早产婴儿并发症的范围.
- 强调重点转向减少长期发病率和预防脑损伤.
- 倡导持续的随访,以确定晚年生活中的风险,如心血管和代谢障碍.
主要方法:
- 关于早产婴儿结果现有文献的综述.
- 与妊娠年龄相关的发病率模式的分析.
- 对早产幸存者长度观察到成年期.
主要成果:
- 过早出生的婴儿在童年时经历神经发育障碍和反复出现的健康问题.
- 隐藏的残疾,如学习和行为问题,在青春期就会出现.
- 大多数非常早产的幸存者在过渡到成年期间适应良好.
结论:
- 降低死亡率需要专注于预防长期发病,特别是脑损伤.
- 长期跟踪对于确定早产幸存者的心血管和代谢疾病风险至关重要.
- 围产期干预策略必须不断发展,以满足早产婴儿一生的综合健康需求.
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