Harrison C M, Johnson K, McKechnie E
Department of Neonatology, Leeds Teaching Hospitals Trust, Leeds, UK.
Acta Paediatr. 2008 Apr;97(4):407-13. doi: 10.1111/j.1651-2227.2007.00721.x.
Premature infants are at significant risk of reduced bone mineral content (BMC) and subsequent osteopenia. There are currently no standard practices regarding screening, investigation or treatment of this condition. We present a case report and findings of a national survey of 36 level 2 and 3 neonatal units (72% response rate). The findings showed widely disparate practice regarding screening, prevention and treatment. We summarize the tests currently available for osteopenia and suggest guidelines for management of the at risk group.
Our survey confirms inconsistent practices regarding management of infants at risk of osteopenia of prematurity. Investigations and treatments available are summarized together with a guideline for management of this susceptible group of infants.
早产儿有骨矿物质含量(BMC)降低及随后发生骨质减少的显著风险。目前对于这种情况的筛查、检查或治疗尚无标准做法。我们呈现一份病例报告以及对36个二级和三级新生儿病房的全国性调查结果(回复率72%)。结果显示在筛查、预防和治疗方面做法差异很大。我们总结了目前可用于骨质减少的检测方法,并提出了针对高危组的管理指南。
我们的调查证实了对于有早产相关骨质减少风险婴儿的管理做法不一致。总结了可用的检查和治疗方法以及针对这类易感婴儿群体的管理指南。