在分娩室正压通风后,晚期早产和满期婴儿的结果
Maureen Peers de Nieuwburgh1,2, Charlotte Cecarelli2, Danielle Weinberg2
1Department of Pediatrics, Cliniques Universitaires Saint-Luc, Avenue Hippocrate 10, 1200 Brussels, Belgium.
Resuscitation plus
|June 17, 2024
概括
在晚期早产和满期婴儿的分娩室正压通风与更高的分娩后并发症率有关. 对这些新生儿来说,对复苏后的仔细监测至关重要.
科学领域:
- 新生儿医学 新生儿医学
- 儿科复苏 儿科复苏 儿科复苏
- 临床结果 临床结果
背景情况:
- 正压通风 (PPV) 是对新生儿的常见干预措施,新生儿在出生时需要呼吸支持.
- 了解与晚期早产和满期婴儿的PPV相关的短期结果对于优化护理至关重要.
研究的目的:
- 描述在分娩室接受PPV的晚期早产和满期婴儿的短期结果.
- 将这些结果与没有在出生时接受复苏的婴儿进行比较.
主要方法:
- 在35 0/7和41 6/7周怀孕之间出生的婴儿的回顾性队列研究.
- 接受PPV的婴儿与没有接受分娩室通风的对照进行了比较.
- 主要结局:新生儿重症监护室 (NICU) 的入院;次要结局:医院疾病和干预.
主要成果:
- 在接受PPV的婴儿中,与对照组相比,新生儿重症监护室的入院率 (33%) 显著更高 (1.5%).
- 暴露于PPV与增加抗生素使用,缺氧缺血性脑病变,呼吸支和肺胸炎有关.
- 产后并发症的组合发生在45%的暴露于PPV的婴儿中,而对照组为15.8%,PPV持续时间较长 (>1分钟),并发症率较高.
结论:
- 产后并发症在分娩室PPV后常见于晚期早产和满期婴儿.
- 这些发现强调了在NICU或新生儿托儿所设置中进行警的复苏后监测的必要性.
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