在接受非侵入性通风的新生儿中报告鼻子压力损伤:范围审查
Alexander E Graf1, Simon Bellido2, Chellapriya Vythinathan3
1Department of Otolaryngology-Head and Neck Surgery, SUNY Downstate Health Sciences University, Brooklyn, NY, USA. Alexander.graf@downstate.edu.
新生儿的非侵入性通风 (NIV) 可以导致鼻子压力损伤. 这次审查发现,研究中对这些伤害的报告系统不一致,强调需要标准化.
科学领域:
- 新生儿护理 新生儿护理
- 呼吸系统的支持呼吸系统的支持
- 与医疗器械相关的伤害
背景情况:
- 接受非侵入性通风 (NIV) 的新生儿容易受到鼻子压力损伤.
- 目前对这些伤害的标准化报告是有限的.
- 这项研究解决了对一致伤害文档的需求.
研究的目的:
- 对接受NIV.的新生儿中鼻压力损伤的报告系统进行范围审查.
- 识别和分析现有文献中用于描述这些损伤的方法.
主要方法:
- 使用PubMed,Embase和Web of Science进行了全面的文献搜索.
- 包括报告与新生儿NIV相关的鼻损伤的研究.
- 评估的主要结果是用于鼻损伤的报告系统.
主要成果:
- 在705个选题目中,有40篇论文符合入选标准.
- 最常见的报告方法是作者开发的描述性尺度 (25%),其次是菲舍尔等人2010年尺度 (20%).
- 虽然38%的人报告了特定的损伤亚部位,但只有5%的人使用内镜进行评估.
结论:
- 与NIV相关的压力损伤报告中存在显著的异质性.
- 这种变异性跨越不同的医学专业,机构和出版文献.
- 对于新生儿NIV相关的鼻损伤,显然需要标准化报告系统.
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