葡萄牙的MIST/LISA:全国临床实践调查
Sílvia Duarte Costa1, Sofia Silva Faria1, Cláudia Ferraz2
1Department of Pediatrics, Unidade Local de Saúde de Matosinhos, Hospital Pedro Hispano, Porto, Portugal.
Journal of paediatrics and child health
|November 28, 2025
概括
至少侵入性表面活性剂疗法 (MIST/LISA) 在葡萄牙新生儿重症监护室很常见,但实践在很大程度上有所不同. 需要标准化的指导方针来优化对早产婴儿与呼吸困扰综合征的表面活性剂的管理.
科学领域:
- 新生儿科学 新生儿科学
- 儿科重症监护 儿科重症监护
背景情况:
- 最少/最少侵入性表面活性剂治疗/施用 (MIST/LISA) 越来越多地用于早产婴儿的呼吸困扰综合征.
- 其目的是减少与侵入性表面活性剂输送方法相关的并发症.
- 尽管越来越多的人采用MIST/LISA,但临床实践的差异仍然存在.
研究的目的:
- 评估葡萄牙新生儿重症监护室 (NICU) 中MIST/LISA的使用情况.
- 识别和分析与MIST/LISA相关的临床实践的变化.
主要方法:
- 一份全国性的匿名问卷被分发给葡萄牙各地的新生儿科医生.
- 该调查收集了关于表面活性剂施用技术,MIST/LISA经验,设备偏好和前期治疗方案的数据.
- 用描述性分析来解释收集的答案.
主要成果:
- 87%的受访者表示使用MIST/LISA,比INSURE或标准输管更喜欢它.
- 在干预前的药物管理和导管选择中观察到显著的实践差异.
- Surfcath是最常用的设备 (71%),只有三分之一的临床医生始终使用静止前.
结论:
- 葡萄牙NICU中广泛实施MIST/LISA,这表明向不那么侵入性地表面活性剂输送的转变.
- 与MIST/LISA相关的临床实践中发现了实质性的异质性.
- 显然需要标准化指导方针来优化临床结果,并减少MIST/LISA管理中的实践变化.
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