1750名出生时体重非常低的婴儿的死亡率,发病率和护理实践,2016-2021年
Yang He1, Meng Zhang2, Jun Tang1
1Department of Neonatology, West China Second Hospital, Sichuan University, Chengdu, Sichuan 610041, China.
Chinese medical journal
|February 26, 2024
概括
与2009-2015年相比,在2016-2021年期间,出生体重非常低 (VLBW) 婴儿的死亡率下降. 然而,新生儿呼吸困难综合征 (NRDS) 和支气管肺功能失调 (BPD) 增加,影响生存和长期结果.
科学领域:
- 新生儿科学 新生儿科学
- 儿科重症监护 儿科重症监护
- 围产儿医学 围产儿医学
背景情况:
- 非常低出生体重 (VLBW) 婴儿在新生儿学中代表了一个脆弱的人群,面临着严重的疾病和死亡率挑战.
- 分析VLBW婴儿的临床特征对于改善护理和治疗结果至关重要.
研究的目的:
- 分析2016年至2021年间出生的VLBW婴儿的临床特征.
- 将这些特征,包括死亡率和主要发病率,与以前7年期间 (2009-2015) 的数据进行比较.
主要方法:
- 在西中国第二医院进行了一项回顾性队列研究.
- 包括出生体重小于1500克的新生儿,分析死亡率,护理实践和主要疾病.
- 2016-2021年的数据与2009-2015年的数据进行了比较.
主要成果:
- 该研究包括1750名VLBW婴儿 (2016-2021年) 和1146名VLBW婴儿 (2009-2015年).
- 总和住院死亡率在2016-2021年 (9.7%和3.0%) 与2009-2015年 (16.7%和5.6%) 相比较低.
- 新生儿呼吸困扰综合征 (NRDS) 和支气管肺形 (BPD) 的发病率在2016-2021年显著增加,而呼吸暂停和严重的腹腔内出血 (IVH) /腹腔周白血病 (PVL) 则减少.
结论:
- VLBW婴儿死亡率有所下降,这表明在研究期间的护理改善.
- 在2016-2021年VLBW婴儿中NRDS和BPD的增加对生存和长期预后提出了挑战.
- 需要持续的研究和干预策略,以应对越来越多的NRDS和BPD在VLBW人群中的流行.
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