维生素K缺乏国际视角 婴儿出血:一个基于问卷的横截面调查
Nongnuch Sirachainan1, Patcharee Komvilaisak2, C Heleen van Ommen3
1Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Pediatric blood & cancer
|July 9, 2025
概括
尽管进行了预防,但维生素K缺乏症出血 (VKDB) 仍然是全球关注的问题. 关键风险包括出生时缺乏维生素K和肝病,障碍因国家收入而异.
科学领域:
- 新生儿医学 新生儿医学
- 儿科血液学 儿科血液学
- 公共卫生 公共卫生
背景情况:
- 维生素K缺乏症出血 (VKDB) 对新生儿和婴儿构成风险,原因是维生素K的转移和储存水平较低.
- 全球维生素K (VK) 预防在出生时已经减少了VKDB发病率,但它仍然是一个重大问题.
研究的目的:
- 评估目前的发病率,风险因素和VKDB的结果.
- 在全球范围内确定维生素K预防的障碍和局限性.
主要方法:
- 在2021-2023年期间,对管理VKDB或VK预防的医生进行了全球调查.
- 分析了来自38个国家的685名医生的答案,使用千-平方测试和等级集群.
主要成果:
- 42.1%的医生报告每年治疗1-5例VKDB病例.
- 出生时缺乏VK和肝病是主要的危险因素.
- 层次聚类揭示了风险因素和预防障碍的地理和经济差异,包括高收入国家的父母拒绝和低收入国家的有限的VC可用性.
结论:
- 尽管采取了预防措施,但VKDB在全球范围内仍然存在.
- 针对患有肝病的婴儿的具体指导方针和加强家长教育至关重要.
- 解决VKDB可用性的全球差异对于有效的VKDB管理至关重要.
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