从2005年到2020年,新生儿重症监护室使用加巴丁的趋势
Annette G Roberts1, Ryan Kilpatrick2, Lindsey D Diaz1
1Duke Clinical Research Institute, Durham, North Carolina.
American journal of perinatology
|November 25, 2024
概括
新生儿重症监护室 (NICU) 的 gabapentin 使用急剧增加,尽管婴儿安全性证据有限. 进一步的研究至关重要,以了解其在新生儿中的有效性和风险.
科学领域:
- 新生儿药理学 新生儿药理学
- 儿科重症监护室的重症监护室
- 药物使用研究研究药物使用研究.
背景情况:
- 加巴丁越来越多地用于新生儿重症监护室 (NICU).
- 加巴丁在婴儿中的安全性和有效性尚未得到充分确立.
- 了解与 gabapentin 使用相关的趋势和患者特征至关重要.
研究的目的:
- 分析NICU内加巴丁使用趋势.
- 为了检查接受 gabapentin 的婴儿的人口结构因素,诊断和同时服用的药物.
- 突出了对新生儿加巴丁的进一步研究的需要.
主要方法:
- 一项回顾性队列研究分析了2005年至2020年期间在NICU接受治疗的987,181名婴儿.
- 收集了对 gabapentin 暴露,婴儿人口统计,诊断和同时服用药物的数据.
- 统计分析确定了趋势和相关因素.
主要成果:
- 加巴丁的使用是罕见的 (<0.01%),有85名暴露的婴儿.
- 从2009年到2020年, gabapentin使用的相对显著增加了1.055% (p < 0.01).
- 暴露的婴儿出生时体重较低,早产率较高,慢性肺病,胃口管和药物戒断综合征,经常同时服用阿片类药物和二类药物.
结论:
- 在NICU中使用 gabapentin 显著增加,尽管不常见.
- 尽管新生儿群体缺乏可靠的安全性和有效性数据,但这种趋势仍然存在.
- 进一步的临床研究是必要的,以评估 gabapentin 在新生儿护理中的作用.
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