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产前皮质类固醇的使用与早产双胞胎婴儿严重ROP的风险较低有关
Omer Ertekin1, Buse Ozer Bekmez1, Mehmet Buyuktiryaki2
1Division of Neonatology, Department of Pediatrics, Ankara Bilkent City Hospital, University of Health Sciences, Ankara, Turkey.
Early human development
|February 9, 2024
概括
产前皮质类固醇 (ACS) 显著降低了早产双胞胎的主要疾病,包括呼吸困扰综合征,严重的腹腔内出血和早期发作的败血症. 这一发现支持在双胞胎怀孕中使用ACS,类似于单独婴儿.
科学领域:
- 新生儿医学 新生儿医学
- 周围生理学 周围生理学
- 产科 产科 产科 产科 产科
背景情况:
- 产前皮质类固醇 (ACS) 已被证明可以改善单独早产婴儿的结果.
- ACS对早产双胞胎的影响,一个独特的群体,需要进一步调查.
研究的目的:
- 评估产前皮质类固醇 (ACS) 治疗对早产双胞胎发病率和死亡率的影响.
主要方法:
- 双胞胎婴儿 (24-30周妊娠期) 的回顾性单中心研究.
- 婴儿按ACS暴露分组 (接受与未接受) 在出生前1-7天.
- 医院住院死亡率和新生儿结局在不同组之间的比较.
主要成果:
- ACS的使用与呼吸困难综合征 (RDS),严重腹腔内出血 (IVH),早期发作的败血症 (EOS) 和需要治疗的早产视网膜病变 (ROP) 的显著减少有关.
- 怀孕年龄,ACS给药和完全肠道养的时间是严重ROP风险的独立预测因素.
- 分析了160名双胞胎婴儿的数据,其中64%接受了ACS.
结论:
- 在早产双胞胎中,ACS显著降低了严重的ROP,RDS,严重的IVH和EOS,反映了单身双胞胎中看到的好处.
- 需要进一步的大规模前性研究来确认ACS在早产双胞胎的疗效.
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