概括
大多数在妊娠29周之前出生的早产婴儿没有任何不良的新生儿结果. 然而,新生儿发病率显著增加了幸存者神经发育障碍的风险.
科学领域:
- 新生儿科学 新生儿科学
- 发育儿科 发育儿科
- 流行病学 流行病学
背景情况:
- 多发病性与成年人的不良结果和高医疗费用有关.
- 了解新生儿并发症对于早产婴儿护理至关重要.
研究的目的:
- 调查早产婴儿新生儿疾病的同时发生情况.
- 确定新生儿疾病与非常早产新生儿神经发育结果之间的关联.
主要方法:
- 对17438名早产新生儿 (妊娠29周以下) 的分析,这些新生儿被录入加拿大NICU (2010-2020年).
- 评估了7943名儿童的神经发育结果,使用贝利-III评分,脑性麻 (GMFCS),听力和视觉障碍.
- 新生儿结局包括死亡率,晚发性败血症,死结肠炎和严重的神经损伤.
主要成果:
- 40.1%的婴儿至少有一次新生儿死亡或发病.
- 在幸存者中,16.3%有显著的神经发育障碍,5.8%有严重的神经发育障碍.
- 晚期发作的败血症,化性肠球炎和严重的神经损伤与显著的神经发育障碍有关. 较高的新生儿发病率与更多的神经发育障碍相关.
结论:
- 在怀孕29周之前出生的婴儿中,60%的婴儿没有新生儿不良后果.
- 大多数幸存者没有显著的神经发育障碍.
- 新生儿疾病直接和累积地影响早产婴儿的神经发育结果.
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