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在患有支气管肺功能失调的婴儿中,与气管管切除术脱口相关的因素
Ashley M Lloyd1, Hengameh K Behzadpour2, Md Sohel Rana3
1Division of Otolaryngology, George Washington University Hospital, Washington, DC, USA.
International journal of pediatric otorhinolaryngology
|October 17, 2023
概括
对于患有支气管肺功能失调 (BPD) 的早产婴儿,需要气管切除术,黑人种族,综合征和长时间通风增加了脱管时间. 频繁的后续检查也推迟了这一过程,突出了对标准化协议的需求.
科学领域:
- 儿科重症监护 儿科重症监护
- 新生儿科学 新生儿科学
- 肺部病理学 肺部病理学
背景情况:
- 过早出生的婴儿通常需要气管切除术,原因是诸如支气管肺功能障碍症 (BPD) 这样的疾病.
- 腹筋障碍症是早产的常见后果,导致长时间的通风需求.
- 了解影响气管管切除术解管的因素对于优化患者的治疗结果至关重要.
研究的目的:
- 为了确定社会经济障碍的婴儿气管管切除术.
- 确定加速BPD早产婴儿安全脱的因素.
- 分析种族,并发症和随访护理对脱时间的影响.
主要方法:
- 一个三级儿科医院数据库 (2005-2020) 的回顾性审查.
- 在1岁以下的婴儿中,与未经取消的婴儿相比,被取消的婴儿的比较.
- 存活率分析以确定与BPD婴儿脱化时间缩短相关的因素.
主要成果:
- 在125名患有BPD的婴儿中,有35.2%的婴儿有脱;64.8%的婴儿没有.
- 两组之间没有性别,种族,民族,保险或并发症的显著差异.
- 黑人种族,综合征的存在,以及较长的呼吸机依赖性与去断的时间增加有关.
- 随访频率的增加与更长的脱管时间相关.
结论:
- 社会经济因素并没有显著影响患有BPD的婴儿脱的可能性.
- 黑人种族,综合症和长时间的通风与延迟的脱有关.
- 标准化呼吸机断奶和断管协议,以及护理人员教育,可以加快这个过程.
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