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新生儿重症监护后的麻醉与长期预后

Anesthesia and long-term outcomes after neonatal intensive care.

作者信息

Marlow Neil

机构信息

Department of Neonatal Medicine, UCL EGA Institute for Women's Health, London, UK.

出版信息

Paediatr Anaesth. 2014 Jan;24(1):60-7. doi: 10.1111/pan.12304. Epub 2013 Nov 16.

DOI:10.1111/pan.12304
PMID:24330445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3995018/
Abstract

As survival is now increasing, care of the extremely preterm infant is now directed at strategies to minimize long-term morbidity. In this study, I review the current state-of-the-art outcomes for babies born at extremely low gestations and identify strategies that may be aimed at optimizing outcomes. With respect to anesthetic practice, I then go on to discuss important issues of pain management in these babies and how this may affect long-term outcomes.

摘要

随着现在存活率的提高，对极早产儿的护理现在旨在采取策略将长期发病率降至最低。在本研究中，我回顾了极低孕周出生婴儿的当前最新结局，并确定可能旨在优化结局的策略。关于麻醉实践，我接着讨论这些婴儿疼痛管理的重要问题以及这可能如何影响长期结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4f0/3995018/8425b91cc233/pan0024-0060-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4f0/3995018/42af11f455a6/pan0024-0060-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4f0/3995018/8425b91cc233/pan0024-0060-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4f0/3995018/42af11f455a6/pan0024-0060-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4f0/3995018/8425b91cc233/pan0024-0060-f2.jpg

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本文引用的文献

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Perinatal outcomes for extremely preterm babies in relation to place of birth in England: the EPICure 2 study.英格兰极早产儿围产期结局与出生地的关系：EPICure 2 研究。
Arch Dis Child Fetal Neonatal Ed. 2014 May;99(3):F181-8. doi: 10.1136/archdischild-2013-305555. Epub 2014 Mar 6.
2
Parent behaviors moderate the relationship between neonatal pain and internalizing behaviors at 18 months corrected age in children born very prematurely.父母行为可调节新生儿疼痛与极早产儿 18 个月校正龄时内化行为之间的关系。
Pain. 2013 Sep;154(9):1831-1839. doi: 10.1016/j.pain.2013.05.050. Epub 2013 Jun 5.
3
Neonatal pain-related stress, functional cortical activity and visual-perceptual abilities in school-age children born at extremely low gestational age.
新生儿或早产低体重儿腹股沟疝修补术的麻醉
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Br J Anaesth. 2018 Sep;121(3):623-635. doi: 10.1016/j.bja.2018.03.035. Epub 2018 Jun 19.
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Pediatr Res. 2014 May;75(5):584-7. doi: 10.1038/pr.2014.16. Epub 2014 Feb 5.
极低出生体重早产儿的新生儿疼痛相关应激、皮质功能活动与视知觉能力。
Pain. 2013 Oct;154(10):1946-1952. doi: 10.1016/j.pain.2013.04.009. Epub 2013 Apr 8.
4
Oxygen saturation and outcomes in preterm infants.早产儿的氧饱和度与结局。
N Engl J Med. 2013 May 30;368(22):2094-104. doi: 10.1056/NEJMoa1302298. Epub 2013 May 5.
5
Neurodevelopmental outcome in extremely preterm infants at 2.5 years after active perinatal care in Sweden.瑞典积极围产期护理后极低出生体重儿 2.5 岁时的神经发育结局。
JAMA. 2013 May 1;309(17):1810-20. doi: 10.1001/jama.2013.3786.
6
Score for neonatal acute physiology-II and neonatal pain predict corticospinal tract development in premature newborns.新生儿急性生理学-Ⅱ评分和新生儿疼痛预测早产儿皮质脊髓束发育。
Pediatr Neurol. 2013 Feb;48(2):123-129.e1. doi: 10.1016/j.pediatrneurol.2012.10.016.
7
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Paediatr Anaesth. 2013 Feb;23(2):200-1. doi: 10.1111/pan.12084.
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BMJ. 2012 Dec 4;345:e7976. doi: 10.1136/bmj.e7976.
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Neurological and developmental outcome in extremely preterm children born in England in 1995 and 2006: the EPICure studies.1995 年和 2006 年在英国出生的极早产儿的神经发育结局：EPICure 研究。
BMJ. 2012 Dec 4;345:e7961. doi: 10.1136/bmj.e7961.
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Clin Perinatol. 2012 Dec;39(4):857-69. doi: 10.1016/j.clp.2012.09.010.