定期旋转与持续应用相同的鼻腔接口用于早产新生儿的非侵入性呼吸支持:系统性审查和元分析
Jogender Kumar1, Bharti Yadav2, Jitendra Meena3
1Neonatal Unit, Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Indian journal of pediatrics
|December 15, 2023
概括
在接受呼吸器支的早产婴儿中,使用双鼻尖旋转鼻罩并没有减少中度至重度的鼻损伤. 这种策略没有证明优于连续使用任何一个接口.
科学领域:
- 新生儿护理 新生儿护理
- 呼吸系统的支持呼吸系统的支持
- 医疗器械接口 医疗器械接口
背景情况:
- 过早出生的婴儿往往需要非侵入性呼吸支持.
- 鼻腔接口,如口罩和牙,用于提供正气道压力.
- 鼻损伤是与这些接口相关的常见并发症.
研究的目的:
- 为了评估是否在鼻子口罩和双鼻之间交替减少早产婴儿的鼻损伤.
- 为了比较定期旋转与连续使用鼻接口的有效性和安全性.
主要方法:
- 四项随机对照试验 (RCT) 的系统审查和元分析,涉及520名早产婴儿.
- 在多个数据库 (Medline,CINAHL,Embase,Web of Science,CENTRAL) 搜索了相关的RCT.
- 评估中度至重度鼻损伤的初级结局,以及其他临床结局.
主要成果:
- 与连续使用口罩或爪子相比,定期旋转并没有显著减少中度至重度的鼻损伤.
- 与连续双鼻针相比,旋转减少了任何程度的鼻损伤,但连续鼻并没有减少.
- 与更长的呼吸支持续时间 (vs. ) 和住院时间 (vs. 面具) 相关.
结论:
- 定期旋转带有双鼻尖的鼻子口罩并不优于连续应用任何一个接口,以减少早产婴儿的鼻子损伤.
- 连续应用的鼻子口罩可能更喜欢旋转或连续的尖端.
- 可能需要进一步的研究来优化对早产婴儿的接口策略.
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