印度新生儿输血实践:对临床医生的全国性调查
Karthik S Kolkur1, Suprabha K Patnaik1, Nandini Malshe1
1Department of Neonatology, Bharati Vidyapeeth Deemed to be University Medical College, Pune, Maharashtra, India.
Frontiers in pediatrics
|December 4, 2025
概括
印度的新生儿输血实践显示,尽管遵守指导方针,但仍存在差异. 标准化协议可以改善结果,减少新生儿重症监护室 (NICU) 的输血并发症.
科学领域:
- 新生儿医学 新生儿医学
- 血液学 血液学 血液学
- 儿科重症监护 儿科重症监护
背景情况:
- 输血在新生儿重症监护室 (NICU) 中至关重要,但随之而来的风险包括死性肠球炎和腹腔内出血.
- 评估印度NICU当前的输血实践对于确定需要改进的领域至关重要.
研究的目的:
- 评估印度新生儿重症监护室的临床医生当前的输血实践.
- 为了确定不同血液制品的输血门,剂量和持续时间的变化.
主要方法:
- 在2024年2月使用23项问卷在线进行了一项全国性的横截面调查.
- 印度NICU的540名临床医生被邀请,收到了368个回复.
主要成果:
- 67%的临床医生遵守了2020年印度国家新生儿论坛的指南.
- 对红细胞,血小板和新鲜冷血输血的实践显示了体积,持续时间和值的变化.
- 利尿剂不是常用的 (59%),并且50%的从业者在输血过程中拒绝食用红细胞.
结论:
- 印度新生儿重症监护室的新生儿输血实践表现出差异性,尽管遵守既定指南.
- 建议对输血协议进行标准化和加强遵守,以改善临床结果并尽量减少输血相关的并发症.
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