在中国,早产婴儿患有支气管肺功能障碍症的点患病率,特征和治疗变化:"快照"研究
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Jianhua Wang1, Ge Yang1, Zhiqiang Cai1
1Division of Neonatology and Center for Newborn Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, People's Republic of China.
支气管肺功能障碍症 (BPD) 在中国非常普遍,影响了许多早产婴儿. 在新生儿重症监护病房中,BPD的护理和治疗有很大差异,这凸显了对标准化管理策略的需要.
科学领域:
- 新生儿医学 新生儿医学
- 儿科肺病学 儿科肺病学
- 公共卫生 公共卫生
背景情况:
- 支气管肺功能障碍症 (BPD) 的发病率在全球范围内正在上升.
- 在中国,关于BPD患病率和护理变化的数据有限.
- 过早出生的婴儿面临着BPD的高风险.
研究的目的:
- 为了确定BPD在中国的点患病率.
- 分析BPD护理和管理中的变化.
- 为了比较不同的 BPD 诊断标准.
主要方法:
- 这是一项涉及37个NICU的多中心,横截面研究.
- 从一个单一天出生在怀孕32周以下的婴儿收集的临床数据.
- 应用了三个BPD定义:NICHD 2001,NICHD 2018,和詹森 2019 年.
主要成果:
- 根据NICHD 2001年定义,整体BPD患病率为78.2%.
- 根据定义,患病率和严重程度各不相同,NICHD 2018年显示的最低率.
- 患有BPD的婴儿有更高的并发症率,治疗方法在各中心之间有显著差异.
结论:
- 在中国,BPD的患病率显著高.
- 目前的BPD定义给出了不同的患病率估计.
- 在中国,标准化BPD预防和护理至关重要.
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