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本文引用的文献

1
Initial Oxygen Use for Preterm Newborn Resuscitation: A Systematic Review With Meta-analysis.初始氧疗用于早产儿复苏:系统评价与荟萃分析。
Pediatrics. 2019 Jan;143(1). doi: 10.1542/peds.2018-1828.
2
Oxygen therapy of the newborn from molecular understanding to clinical practice.从分子水平理解到临床实践的新生儿氧疗。
Pediatr Res. 2019 Jan;85(1):20-29. doi: 10.1038/s41390-018-0176-8. Epub 2018 Sep 14.
3
Strategies for implementing placental transfusion at birth: A systematic review.在分娩时实施胎盘输血的策略:系统评价。
Birth. 2019 Sep;46(3):411-427. doi: 10.1111/birt.12398. Epub 2018 Sep 27.
4
Preterm Infant Outcomes after Randomization to Initial Resuscitation with FiO 0.21 or 1.0.随机分组后初始复苏时用 FiO20.21 或 1.0 对早产儿结局的影响
J Pediatr. 2018 Oct;201:55-61.e1. doi: 10.1016/j.jpeds.2018.05.053. Epub 2018 Jul 6.
5
The Oxygen Load Supplied during Delivery Room Stabilization of Preterm Infants Modifies the DNA Methylation Profile.产房稳定早产儿期间提供的氧气负荷会改变 DNA 甲基化谱。
J Pediatr. 2018 Nov;202:70-76.e2. doi: 10.1016/j.jpeds.2018.07.009. Epub 2018 Aug 29.
6
A new wrinkle: Umbilical cord management (how, when, who).新的褶皱:脐带管理(如何、何时、谁)。
Semin Fetal Neonatal Med. 2018 Oct;23(5):321-326. doi: 10.1016/j.siny.2018.07.003. Epub 2018 Jul 20.
7
Effect of various inspired oxygen concentrations on pulmonary and systemic hemodynamics and oxygenation during resuscitation in a transitioning preterm model.不同吸入氧浓度对过渡期早产模型复苏时肺和全身血流动力学及氧合的影响。
Pediatr Res. 2018 Nov;84(5):743-750. doi: 10.1038/s41390-018-0085-x. Epub 2018 Jun 2.
8
Lower versus higher oxygen concentrations titrated to target oxygen saturations during resuscitation of preterm infants at birth.出生时对早产儿进行复苏期间,将较低与较高氧浓度滴定至目标氧饱和度。
Cochrane Database Syst Rev. 2018 May 4;5(5):CD010239. doi: 10.1002/14651858.CD010239.pub2.
9
Impact of the Neonatal Resuscitation Program-Recommended Low Oxygen Strategy on Outcomes of Infants Born Preterm.新生儿复苏计划推荐的低氧策略对早产婴儿结局的影响。
J Pediatr. 2017 Dec;191:35-41. doi: 10.1016/j.jpeds.2017.08.074.
10
Outcomes of oxygen saturation targeting during delivery room stabilisation of preterm infants.产房稳定早产儿期间氧饱和度目标值的结果。
Arch Dis Child Fetal Neonatal Ed. 2018 Sep;103(5):F446-F454. doi: 10.1136/archdischild-2016-312366. Epub 2017 Oct 7.

产房内早产儿的最佳吸入氧分数

Optimal Inspired Fraction of Oxygen in the Delivery Room for Preterm Infants.

作者信息

Lara-Cantón Inmaculada, Solaz Alvaro, Parra-Llorca Anna, García-Robles Ana, Vento Máximo

机构信息

Neonatal Research Group, Health Research Institute La Fe, Avenida Fernando Abril Martorell 106, 46026 Valencia, Spain.

Division of Neonatology, University and Polytechnic Hospital La Fe, Avenida Fernando Abril Martorell 106, 46026 Valencia, Spain.

出版信息

Children (Basel). 2019 Feb 19;6(2):29. doi: 10.3390/children6020029.

DOI:10.3390/children6020029
PMID:30791491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6406550/
Abstract

Postnatal adaptation of preterm infants entails a series of difficulties among which the immaturity of the respiratory system is the most vital. To overcome respiratory insufficiency, caregivers attending in the delivery room use positive pressure ventilation and oxygen. A body of evidence in relation of oxygen management in the delivery room has been accumulated in recent years; however, the optimal initial inspired fraction of oxygen, the time to achieve specific oxygen saturation targets, and oxygen titration have not been yet clearly established. The aim of this review is to update the reader by critically analyzing the most relevant literature.

摘要

早产儿的出生后适应存在一系列困难,其中呼吸系统不成熟是最为关键的。为克服呼吸功能不全,产房护理人员会使用正压通气和给氧。近年来积累了大量关于产房氧疗管理的证据;然而,最佳初始吸入氧分数、达到特定血氧饱和度目标的时间以及氧滴定尚未明确确定。本综述的目的是通过批判性分析最相关的文献来使读者了解最新情况。