对因早产呼吸暂停出院的婴儿进行家庭监测的持续时间。

Duration of home monitoring for infants discharged with apnea of prematurity.

作者信息

Tauman R, Sivan Y

机构信息

Center for Infants at High Risk and Home Monitoring, Pediatric Intensive Care, Dana Children's Hospital, Tel Aviv Medical Center, Tel Aviv University Sackler Faculty of Medicine, Tel Aviv, Israel.

出版信息

Biol Neonate. 2000 Oct;78(3):168-73. doi: 10.1159/000014266.

DOI:10.1159/000014266

PMID:11044764

Abstract

Sixty-four preterm infants with apnea of prematurity (AOP) discharged with cardiorespiratory home monitoring (HM) were prospectively followed. For each monitor alarm the parents recorded the occurrence of apnea, bradycardia or color change, and the type of assistance provided. The mean gestational age at birth was 28.8 (26-34) weeks, and the mean birth weight was 1,180 (730-2,390) g. The parents of 61/64 infants (95%) reported a total of 185 true AOPs with a mean of 3 (1-12) events/infant. The mean postconceptional age (PCA) at the last apnea was 41.0 (37-44) weeks. In 80%, AOP terminated between 40 and 44 weeks PCA. There was no correlation between the degree of prematurity and the PCA of the last apnea. We conclude that in preterm infants with AOP discharged with HM, HM may be discontinued at 45 weeks PCA.

摘要

对64名出院时伴有心肺家庭监测（HM）的早产呼吸暂停（AOP）早产儿进行了前瞻性随访。对于每次监测警报，父母记录呼吸暂停、心动过缓或肤色变化的发生情况以及所提供的辅助类型。出生时的平均胎龄为28.8（26 - 34）周，平均出生体重为1180（730 - 2390）克。64名婴儿中的61名（95%）的父母报告了总共185次真正的AOP，平均每名婴儿3（1 - 12）次事件。最后一次呼吸暂停时的平均孕龄（PCA）为41.0（37 - 44）周。80%的AOP在PCA 40至44周之间终止。早产程度与最后一次呼吸暂停的PCA之间无相关性。我们得出结论，对于出院时伴有HM的AOP早产儿，可在PCA 45周时停止HM。