在出生时呼吸辅助过程中近红外光谱:系统性审查
Vix Monnelly1, Firdose Nakwa2, Justin B Josephsen3
1Department of Neonatology, Royal Infirmary of Edinburgh, Edinburgh, UK.
Archives of disease in childhood. Fetal and neonatal edition
|April 30, 2025
概括
使用近红外光谱学 (NIRS) 对早产婴儿的大脑氧化水平的分娩室监测证据有限. 目前的数据不能排除对新生儿结果的潜在益处或危害.
科学领域:
- 新生儿医学 新生儿医学
- 围产期护理 围产期护理
- 医疗技术 医疗技术 医学技术
背景情况:
- 在围产期过渡期间大脑氧化受损与新生儿发病率和死亡率有关.
- 近红外光谱 (NIRS) 测量大脑区域组织氧和度 (crSO2),并可以告知分娩室呼吸管理.
研究的目的:
- 为了评估crSO2监测是否除了例行评估外,与单独的例行评估相比,改善新生儿结果.
主要方法:
- 通过Ovid MEDLINE,Embase和Cochrane CENTRAL识别的随机对照试验 (RCT) 的系统审查和元分析.
- 包括的研究涉及新生儿在分娩室接受呼吸辅助.
主要成果:
- 分析了两个RCT (667名早产婴儿) 的三篇文章. 没有发现没有神经发育障碍的生存数据.
- 证据不能排除对生存的益处或危害,严重的腹腔内出血,腹腔内白血病或crSO2水平.
结论:
- 关于使用crSO2监测与早产婴儿分娩室治疗指南的证据有限.
- 需要进一步的研究来确定crSO2监测对新生儿结局的最终影响.
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