在早产婴儿和学龄的功能性结果中使用皮:随机临床试验的后续研究
Sara B DeMauro1,2, Haresh Kirpalani1,2, Susan Hintz3
1Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
JAMA pediatrics
|December 8, 2025
概括
新生儿用皮松治疗并没有改善患有支气管肺功能失调 (BPD) 风险的早产婴儿在学龄期的结果. 几乎四分之三的儿童经历了功能障碍,无论治疗如何.
科学领域:
- 新生儿医学 新生儿医学
- 儿科肺病学 儿科肺病学
- 临床试验中的临床试验.
背景情况:
- 支气管肺功能障碍症 (BPD) 是早产婴儿的常见并发症,导致长期的健康问题.
- 新生儿研究网络 (NRN) 之前曾研究过皮质的BPD预防作用.
- 这项试验后的长期学龄结局以前没有报告.
研究的目的:
- 评估新生儿皮对学校年龄的功能性运动,认知,学术和肺部结果的影响.
- 为了评估在非常早产的婴儿中,皮治疗的长期影响.
主要方法:
- 对BPD试验的NRN水皮质素的潜在长期随访.
- 随机试验参与者 (出生<30周GA,机械通风) 参加了学龄访问 (校正年龄为5-7岁).
- 功能障碍被定义为认知,运动,学业延迟或运动能力差.
主要成果:
- 皮和安慰剂组之间功能障碍率没有显著差异 (71.3%对比73.3%).
- 功能障碍的各个组成部分也没有显示群体之间的差异.
- 运动延迟 (60.4%) 和功能性运动能力低下 (36.2%) 是最常见的障碍.
结论:
- 新生儿用皮松治疗没有影响BPD高风险的早产婴儿在学龄期的功能结果.
- 在这个群体中,在学龄阶段观察到功能障碍的高患病率.
- 研究结果表明,皮对这一群体的长期功能结果没有好处.
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