在新生儿重症监护期间与非计划性输出相关的风险因素和短期呼吸结果
Irma Mannerstedt1, Laszlo Markasz1, Victoria Karlsson1
1Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Frontiers in pediatrics
|August 28, 2025
概括
机械呼吸的婴儿在皮肤对皮肤护理 (SSC) 期间的非计划性输出率较高,但随着时间的推移而下降. 大多数婴儿不需要再输液,尽管UE后的氧气需求增加.
科学领域:
- 新生儿重症监护
- 儿童呼吸系统医学
- 患者安全
背景情况:
- 在新生儿重症监护室,无计划的输出管 (UE) 是一个显著的不良事件.
- 皮肤对皮肤护理 (SSC) 对新生儿有好处,但在机械通风 (MV) 期间实施它存在挑战.
- 之前没有报告SSC对输管婴儿UE发病率的影响.
研究的目的:
- 在接受机械呼吸 (MV) 的婴儿中调查意外输出管 (UE) 的发生率.
- 分析婴儿特征和短时间的呼吸结果.
- 在一个SSC是标准护理的单位评估UE率,即使在MV期间.
主要方法:
- 从2021年至2023年进行了单中心回顾性队列研究.
- 在瑞典的第三级护理中心接受MV的婴儿也包括在内.
- 使用电子医疗记录数据计算了每100天的UE发病率,区分传统护理 (CC) 和SSC.
主要成果:
- 整体UE发病率为每100个MV天中的3. 9个 (SSC的10. 4个,CC的3. 0个,p < 0. 001).
- 在SSC期间的UE发病率呈现下降趋势 (2021年为14.5,2023年为7.7,p=0.07).
- 72% 的婴儿需要在UE后的120分钟内重新输入输液,观察到增加的氧气需求.
结论:
- 虽然SSC期间UE发病率较高,但在研究期间却有所下降.
- 超过25%的UE不需要再输液,不论治疗类型如何.
- 在机械通风的婴儿中安全实施SSC需要警的工作人员,家长的意识和经验丰富的人员.
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