新生儿的呼吸道发病率,妊娠年龄在32周或以上
Michelle Pihl Larsen1, Anna Elisabeth Lewis1, Anne Mette Plomgaard2
1Department of Pediatrics, Copenhagen University Hospital - North Zealand Hospital, Hilleroed.
Danish medical journal
|March 24, 2025
概括
轻微的呼吸道问题经常导致新生儿重症监护室 (NICU) 的入院,无论是预产婴儿还是早产婴儿. 大多数病例需要短暂的呼吸支持,尽管一些早产婴儿患有呼吸困扰综合征 (RDS).
科学领域:
- 新生儿医学 新生儿医学
- 儿科 儿科 儿科
- 呼吸系统健康 呼吸系统健康
背景情况:
- 由于呼吸系统发病,新生儿重症监护室 (NICU) 的早期入院会影响婴儿的健康结果.
- 呼吸道疾病被定义为在中度到晚期早产和满期婴儿中出现呼吸道症状的任何疾病.
研究的目的:
- 调查患有呼吸道症状的婴儿早期入院至新生儿重症监护室的主要原因.
- 分析早产和早产婴儿呼吸道疾病的特征和结果.
主要方法:
- 进行了一项回顾性队列研究,其中包括2021年被录入NICU的妊娠年龄 (GA) ≥32周的婴儿.
- 分析了来自丹麦两家医院的数据,占丹麦近20%的分娩.
主要成果:
- 921名婴儿 (8%的活生生的GA≥32周) 在24小时内入院;60%患有呼吸道疾病.
- 呼吸系统发病率在早产婴儿中为35%,在早产婴儿中为3.2%.
- 两个组的呼吸支时间都很短 (平均5小时为预产期,19小时为早产期);15%的入院早产婴儿患有呼吸困扰综合征 (RDS).
结论:
- 轻微的呼吸道发病率是早期入院NICU的最常见原因,通常需要短期的治疗持续时间.
- 在中度到晚期的早产婴儿中,呼吸道发病率也通常是轻微的,但很大一部分 (15%) 患有RDS.
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