在前极低妊娠年龄的新生儿中,咖啡因和两岁的功能
Matthew W Harer1, Russell Griffin2, David J Askenazi2
1Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA. mwharer@wisc.edu.
极低妊娠年龄的新生儿长时间服用咖啡因可能会有不同的脏结果. 后来停用咖啡因与没有支气管肺功能不良的婴儿的功能降低有关,但在患有BPD的婴儿中增加了高血压风险.
科学领域:
- 新生儿科学 新生儿科学
- 儿科脏病学 儿科脏病学
- 临界护理医学 临界护理医学
背景情况:
- 极低妊娠年龄的新生儿 (ELGAN) 面临慢性病的风险.
- 新生儿摄入咖啡因对脏的长期影响尚不清楚.
- 这项研究调查了长时间咖啡因暴露对ELGANs功能的影响.
研究的目的:
- 在ELGAN中确定新生儿咖啡因暴露时间和22-26个月校正年龄的功能之间的关联.
- 探索支气管肺功能失调 (BPD) 状态是否会改变咖啡因暴露和脏结果之间的关系.
主要方法:
- 预预期红蛋白神经保护试验的二次分析.
- 包括孕期<28周出生的新生儿,年龄修正后22-26个月的结局数据.
- 分析结局,包括估计球过率 (eGFR) 降低,白色素尿和高血压 (BP),按BPD状态分层.
主要成果:
- 在整体队列中,停用咖啡因的时间与2年后的功能异常无关.
- 在没有BPD的新生儿中,每增加一周的咖啡因与减少eGFR的几率下降21%有关.
- 在患有BPD的新生儿中,每增加一周的咖啡因与血压升高的几率增加15%有关.
结论:
- 新生儿咖啡因暴露时间与22-26个月的脏结果差异有关,受BPD状态的影响.
- 后来在ELGAN中停用咖啡因可能会增加在没有BPD的人中降低eGFR的风险,并在BPD的人中增加高血压.
- 需要进一步的研究来阐明咖啡因对早产婴儿的长期脏影响.
更多相关视频
08:33Experimental Protocol for Examining Behavioral Response Profiles in Larval Fish: Application to the Neuro-stimulant Caffeine
Published on: July 24, 2018
13:35A Convenient Method for Extraction and Analysis with High-Pressure Liquid Chromatography of Catecholamine Neurotransmitters and Their Metabolites
Published on: March 1, 2018
相关概念视频
Factors Affecting Renal Clearance: Renal Impairment
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
Factors Affecting Drug Response: Overview
Renal Failure: Dose Adjustments
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Renal Drug Excretion: Glomerular Filtration
Drugs gain access to the kidney via the renal artery, which progressively branches off into afferent arterioles....
Renal Drug Excretion: Overview
A nephron consists of two primary structures: the renal corpuscle and the renal tubule. The renal corpuscle contains the glomerulus, a network of capillaries where the first step of renal excretion, glomerular filtration, occurs. Blood pressure forces water, ions, and small molecules...
Teratogenicity
