在出生体重非常低和极低的早产婴儿中,输出管成功的预测因素
Nilson Willamy Bastos de Souza Júnior1, Tathiane Ribeiro Rosa1, Jane Cecília Kreling Cerântola2
1Postgraduation Program in Rehabilitation Sciences Londrina State University.
概括
妊娠年龄和排卵后的二氧化碳水平预测了早产婴儿的排卵成功. 出生体重较低和输出前氧气水平较高与这些脆弱婴儿的输出失败有关.
科学领域:
- 新生儿医学 新生儿医学
- 儿科重症监护中心儿童重症监护中心
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 在极低出生体重 (ELBW) 婴儿的长期侵入性机械通风 (IMV) 与糟糕的结果有关.
- 确定成功输出管的预测因素对于改善出生体重非常低 (VLBW) 和ELBW早产婴儿的临床结果至关重要.
研究的目的:
- 确定预测VLBW和ELBW早产婴儿成功输出管的关键因素.
- 在这个高风险人群中分析与输出管成功与失败相关的变量.
主要方法:
- 一项队列研究包括2015-2018年间接受IMV的早产婴儿 (妊娠年龄<36周,出生体重<1500克).
- 婴儿被分为输出管的成功和失败组.
- 循序渐进的后勤回归确定了与成功除相关的变量.
主要成果:
- 妊娠年龄 (GA) 和排卵后的二氧化碳 (PaCO2) 动脉部分压力是排卵成功的重要预测因素.
- 输出失败组的婴儿具有较低的GA和出生体重 (BW).
- 输出成功组的婴儿在输出时体重较高,输出后PaCO2较低.
结论:
- 在VLBW和ELBW早产婴儿中,GA和脱口后的PaCO2是成功脱口的关键预测因素.
- 输出失败与较低的出生体重和更高的输出前FiO2.2有关.
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