英国和爱尔兰罗宾序列婴儿的气道管理:基于人口的前性研究
Marie Wright1,2,3, Rachel L Knowles3, Mario Cortina-Borja3
1Division of Paediatric Respiratory Medicine, BC Children's Hospital, Vancouver, Canada.
Pediatric pulmonology
|July 20, 2024
概括
在英国/爱尔兰,大多数罗宾序列 (RS) 的婴儿都使用鼻气道 (NPA) 治疗上呼吸道阻塞 (UAO). 尼氨酸是一种安全的第一线治疗方法,但对生长和神经发育的纵向监测至关重要.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 头骨面部异常 头骨面部异常
- 新生儿重症监护中心
背景情况:
- 罗宾序列 (RS) 在婴儿上呼吸道阻塞 (UAO) 管理中提出了挑战.
- 目前的治疗疗效和临床结果缺乏共识.
- 了解RS中的UAO管理对于改善婴儿护理至关重要.
研究的目的:
- 描述英国和爱尔兰RS的婴儿UAO管理策略.
- 探索患者特征,UAO管理和临床结果之间的关系.
- 评估不同UAO干预措施的安全性和可行性.
主要方法:
- 在英国和爱尔兰,积极监测RS病例.
- 在最初的通知和12个月后的随访时收集临床数据.
- 对患者特征,干预措施和临床结果的分析.
主要成果:
- 确定了173名RS的婴儿; 47%的婴儿没有隔离RS.
- 三分之二需要空气道干预超出容易的定位; 84%是非手术 (主要是鼻气道 - NPA).
- 手术管理与更长的住院时间,神经发育延迟和养问题有关;NPA显示安全和可行的结果.
结论:
- 鼻气道 (NPA) 是英国/爱尔兰RS婴儿UAO的主要和安全的第一线治疗方法.
- 气管切除术只适用于严重的,耐火的UAO.
- 对所有RS婴儿,包括孤立病例,长度评估生长和神经发育是必不可少的,强调需要基于证据的指导方针.
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