Merrill Lisa
Health Sciences Center, Winnipeg, Manitoba, Canada.
Nurs Womens Health. 2013 Feb-Mar;17(1):42-51. doi: 10.1111/1751-486X.12005.
Advances in medical care of preterm infants, including the widespread use of surfactant and antenatal steroids, and improvements in ventilation management, have increased the survival rates of some of the most vulnerable infants. Yet, the risk of neurologic impairment and long-term medical complications remains a concern. Recently, the use of magnesium sulfate during anticipated preterm birth has been identified as a potential treatment to reduce adverse neurologic outcomes among preterm infants. This article discusses the use of magnesium sulfate for anticipated preterm birth to reduce neurologic impairment in preterm infants, including current clinical practice guidelines and implications for nurses.
早产儿医疗护理方面的进展，包括表面活性剂的广泛使用、产前类固醇的应用以及通气管理的改善，提高了一些最脆弱婴儿的存活率。然而，神经功能损害和长期医疗并发症的风险仍然令人担忧。最近，硫酸镁在预期早产时的使用已被确定为一种潜在的治疗方法，可降低早产儿不良神经结局的发生率。本文讨论了硫酸镁在预期早产时的使用，以减少早产儿的神经功能损害，包括当前的临床实践指南以及对护士的启示。
