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晚期早产儿的长期预后

Long-term outcome of infants born late preterm.

作者信息

Gkentzi Despoina, Dimitriou Gabriel

机构信息

Neonatal Intensive Care Unit, 3rd floor, University General Hospital of Patras, Rio 26504, Patras, Greece.

出版信息

Curr Pediatr Rev. 2014;10(4):263-7. doi: 10.2174/1573400510666141114224257.

DOI:10.2174/1573400510666141114224257
PMID:25403638
Abstract

Late preterm infants are defined as those born between 34(0/0) and 36(6/7) weeks of gestation. This population represents a growing proportion of preterm deliveries and traditionally has been neglected as thought to behave similarly to term infants. However, studies in the last decade have shown that they are vulnerable not only during the first few weeks of life but also later on in infancy and childhood. The aim of this review is to summarize the published literature in the field of the long-term outcomes of the late preterm delivery. The main areas that are affected are the respiratory function and the neurodevelopment of these babies due to the early arrest in the lung and brain development, respectively. Moreover, the overall general health of this population is affected in the long-term and ongoing follow up studies are required to provide a better understanding in the field. Continuous efforts should also be made so that the needs of these infants are recognized and managed in a timely appropriate manner.

摘要

晚期早产儿被定义为妊娠34(0/0)至36(6/7)周之间出生的婴儿。这一群体在早产分娩中所占比例日益增加,传统上一直被忽视,因为人们认为他们的行为与足月儿相似。然而,过去十年的研究表明,他们不仅在生命的最初几周易受伤害,而且在婴儿期和儿童期后期也易受伤害。本综述的目的是总结关于晚期早产长期结局领域已发表的文献。受影响的主要方面分别是这些婴儿的呼吸功能和神经发育,这是由于肺和脑发育过早停滞所致。此外,这一群体的整体健康在长期内受到影响,需要进行持续的随访研究,以便更好地了解该领域的情况。还应不断努力,以便及时、适当地认识和处理这些婴儿的需求。

相似文献

1
Long-term outcome of infants born late preterm.晚期早产儿的长期预后
Curr Pediatr Rev. 2014;10(4):263-7. doi: 10.2174/1573400510666141114224257.
2
Long term respiratory outcomes of late preterm-born infants.晚期早产儿的长期呼吸系统结局。
Semin Fetal Neonatal Med. 2012 Apr;17(2):77-81. doi: 10.1016/j.siny.2012.01.004. Epub 2012 Jan 23.
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Population-Attributable Risk of Risk Factors for Recurrent Wheezing in Moderate Preterm Infants During the First Year of Life.中度早产儿出生后第一年复发性喘息危险因素的人群归因风险
Paediatr Perinat Epidemiol. 2016 Jul;30(4):376-85. doi: 10.1111/ppe.12295. Epub 2016 May 16.
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Populations at risk for developing respiratory syncytial virus and risk factors for respiratory syncytial virus severity: infants with predisposing conditions.患呼吸道合胞病毒的高危人群及呼吸道合胞病毒严重程度的危险因素:有易患因素的婴儿。
Pediatr Infect Dis J. 2003 Feb;22(2 Suppl):S33-7; discussion S37-9. doi: 10.1097/01.inf.0000053883.08663.e5.
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Respiratory syncytial virus bronchiolitis in ex-preterm infants in the Scottish highlands: review of hospital admissions and an analysis of hospital cost.苏格兰高地前早产儿的呼吸道合胞病毒细支气管炎:住院情况回顾及医院成本分析
Scott Med J. 2003 Nov;48(4):108-10. doi: 10.1177/003693300304800404.
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RSV hospitalization in infancy increases the risk of current wheeze at age 6 in late preterm born children without atopic predisposition.婴儿期 RSV 住院会增加非特应性倾向的晚期早产儿在 6 岁时出现当前喘息的风险。
Eur J Pediatr. 2019 Apr;178(4):455-462. doi: 10.1007/s00431-018-03309-0. Epub 2019 Jan 12.
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Healthy Late-preterm infants born 33-36+6 weeks gestational age have higher risk for respiratory syncytial virus hospitalization.孕33至36⁺⁶周出生的健康晚期早产儿因呼吸道合胞病毒住院的风险更高。
Early Hum Dev. 2015 Sep;91(9):541-6. doi: 10.1016/j.earlhumdev.2015.06.009. Epub 2015 Jul 14.
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Respiratory syncytial virus hospitalization outcomes and costs of full-term and preterm infants.呼吸道合胞病毒感染对足月儿和早产儿住院治疗的结局及费用影响
J Perinatol. 2016 Nov;36(11):990-996. doi: 10.1038/jp.2016.113. Epub 2016 Aug 4.
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Examining Early Childhood Health Outcomes of Children Born Late Preterm in Urban Manitoba.探究曼尼托巴省城市地区晚期早产儿的幼儿期健康结局
Matern Child Health J. 2017 Dec;21(12):2141-2148. doi: 10.1007/s10995-017-2329-5.
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[Impact of a targeted educational intervention on respiratory syncytial virus bronchiolitis prevention in full-term and preterm infants].[针对性教育干预对足月儿和早产儿呼吸道合胞病毒细支气管炎预防的影响]
Arch Pediatr. 2015 Feb;22(2):146-53. doi: 10.1016/j.arcped.2014.11.015. Epub 2014 Dec 20.

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