在日本的支气管肺功能障碍的家庭氧气疗法实践的变化:一个问卷调查调查
Ryo Ogawa1,2, Masaki Hasebe1, Tomohiko Nakamura1,2
1Division of Neonatology, Nagano Children's Hospital, Azumino, Japan.
Journal of paediatrics and child health
|July 13, 2025
概括
在患有支气管肺功能障碍症 (BPD) 的婴儿中,家庭氧疗 (HOT) 的实践在日本中心之间有很大差异. 需要标准化的指导方针来改善婴儿护理和结果.
科学领域:
- 新生儿科学 新生儿科学
- 儿科肺病学 儿科肺病学
- 医疗保健管理的管理
背景情况:
- 支气管肺张力症 (BPD) 是早产婴儿的慢性肺部疾病.
- 家庭氧气疗法 (HOT) 是BPD的常见治疗方法,但其启动和管理实践可能有所不同.
- 实践中的变化可能会影响患者的治疗结果.
研究的目的:
- 调查目前在日本启动和管理患有支气管肺功能障碍 (BPD) 的婴儿的家庭氧疗法 (HOT) 的做法.
- 为了确定日本围产医疗中心中HOT协议的变化.
主要方法:
- 在日本112个产周医疗中心中进行了一项全国性问卷调查.
- 从监督新生儿科医生那里收集了关于HOT启动和管理标准的回复.
- 数据分析的重点是氧和值,肺高血压评估和家庭监测实践.
主要成果:
- 达到了高响应率 (91.1%) 的结果,显示出实践中的显著差异.
- 虽然大多数中心使用SpO2值 (90-95%) 来启动HOT,但17%缺乏定义的标准.
- 在肺高血压评估,HOT停止标准和依赖家庭报告的数据与分析的氧计数据方面发现了差异.
结论:
- 在日本围产中心中,对于BPD的家庭氧气治疗实践存在相当大的异质性.
- 有必要制定标准化,基于证据的指导方针,用于BPD中HOT管理.
- 标准化可以改善BPD婴儿的临床管理和更好的健康结果.
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