在早产呼吸道发病率的性别差异:最近的一项全人口研究
Theodore Dassios1,2, Christopher Harris3, Emma E Williams1
1Faculty of Life Science and Medicine, Department of Women and Children's Health, School of Life Course Sciences, King's College London, London, UK.
Acta paediatrica (Oslo, Norway : 1992)
|December 21, 2023
概括
在怀孕24-27周之间出生的男性极早产婴儿经历了更多的呼吸系统问题,包括支气管肺功能失调. 这种男性占主导地位的呼吸道发病率并没有观察到早出生的婴儿,在怀孕24周之前.
科学领域:
- 新生儿医学 新生儿医学
- 儿科呼吸系统医学 儿科呼吸系统医学
- 围产期流行病学 围产期流行病学
背景情况:
- 极度早产婴儿 (妊娠28周以下) 患呼吸道疾病的风险较高.
- 了解呼吸结果的性别差异对于有针对性的干预至关重要.
研究的目的:
- 研究极度早产婴儿呼吸道发病率的基于性别的差异.
- 专门检查不同早期妊娠年龄出生的婴儿的呼吸结果.
主要方法:
- 在英格兰,对婴儿<28周怀孕 (2014-2019) 的回顾性全人口研究.
- 支气管肺发育不良症 (BPD) 被定义为36周月经后的呼吸支.
- 根据性别和妊娠年龄组对侵入性通风持续时间和BPD发生率的分析.
主要成果:
- 在怀孕24-27周出生的婴儿中,男性需要更长时间的侵入性通风,并且比女性更高的BPD发病率.
- 在怀孕22-23周出生的婴儿中,在通风持续时间或BPD发生率方面没有发现任何显著的性别差异.
- 总的来说,男性的呼吸道发病率比女性更明显,但仅在24-27周妊娠组.
结论:
- 在怀孕24-27周之间出生的男性极早产婴儿表现出更大的呼吸道发病率.
- 在极度早产的婴儿中,呼吸结果的性别差异取决于妊娠年龄.
- 在出生24周以下的婴儿的呼吸道发病率中没有男性占主导地位,因此需要进一步调查.
相关概念视频
Respiratory System Abnormal Finding I: Inspection and Percussion
274
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
274
Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.0K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.0K
Assessment of Respiration
1.1K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.1K
Physical Assessment of the Respiratory Tract II: Inspection
299
Physical assessment of the respiratory tract through inspection is a crucial step in understanding the patient's respiratory health. It provides insights into the functioning of the respiratory system, the musculoskeletal structure, and even the patient's nutritional status. This comprehensive approach involves observing several vital aspects: chest configuration, breathing patterns, respiratory rates, skin color, and use of accessory muscles.
Chest Configuration
The chest configuration...
Chest Configuration
The chest configuration...
299
Breathing
59.3K
The process of breathing, inhaling and exhaling, involves the coordinated movement of the chest wall, the lungs, and the muscles that move them. Two muscle groups with important roles in breathing are the diaphragm, located directly below the lungs, and the intercostal muscles, which lie between the ribs. When the diaphragm contracts, it moves downward, increasing the volume of the thoracic cavity and creating more room for the lungs to expand. When the intercostal muscles contract, the ribs...
59.3K
Physical Assessment of the Respiratory Tract I: Health History
222
Physical assessment of the respiratory tract is critical to patient care. It allows healthcare professionals to identify and manage various respiratory conditions. The process involves a combination of subjective and objective data collection.
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
Subjective Data
Subjective data provides vital information about the patient's health history and symptoms. This data is typically collected through interviews in which patients describe their experiences, symptoms, and concerns.
Health history and...
222


