多剂量Ondansetron在患有胃肠炎的儿童的紧急访问后
Stephen B Freedman1,2,3, Sarah Williamson-Urquhart1, Amy C Plint4,5,6
1Section of Emergency Medicine, Department of Pediatrics, Alberta Children's Hospital and Cumming School of Medicine, University of Calgary, Calgary, Canada.
The New England journal of medicine
|July 17, 2025
概括
在急诊室访问后,Ondansetron在儿童中显著减少了中度至重度的胃肠炎. 这项研究提供了在家中治疗儿科胃肠炎症状的Ondansetron有效性的证据.
科学领域:
- 儿科急救医学 儿科急救医学
- 胃肠病学 胃肠病学
- 临床药理学 临床药理学
背景情况:
- 丹塞在急诊室用于患有急性胃肠炎相关吐的儿童.
- 有限的证据支持其用于减轻出院后的症状.
研究的目的:
- 评估在急性胃肠炎相关吐的儿童出院时处方的丹塞的有效性.
- 为了确定丹塞是否可以降低在急诊室护理后中度至重度胃肠炎的风险.
主要方法:
- 在六个儿科急诊室进行了一项双盲随机优势试验.
- 1030名儿童 (6个月至18岁) 在入学后48小时接受口服丹塞或安慰剂.
- 主要结局是7天内发生中度至严重的胃肠炎 (修改后的韦斯卡里评分≥9).
主要成果:
- 丹塞的使用与中度至重度胃肠炎的风险较低有关 (调整后的几率比,0.50;95% CI,0.40至0.60).
- 在48小时内吐的发作数量较低,使用丹塞 (调整速率比,0.76;95% CI,0.67至0.87).
- 没有观察到吐的存在,持续时间,非计划的访问,输液接收或不良事件的显著差异.
结论:
- 在急诊室访问后提供Ondansetron在7天内降低了儿童中度至重度胃肠炎的风险.
- 这些发现支持使用丹塞来管理儿科胃肠炎相关的放出后吐.
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