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早产儿间歇性低氧血症。

Intermittent Hypoxemia in Preterm Infants.

机构信息

Division of Neonatology, Case Western Reserve University, Rainbow Babies & Children's Hospital, Suite RBC 3100, Cleveland, OH 44106-6010, USA.

Case Western Reserve University, Rainbow Babies & Children's Hospital, 11100 Euclid Avenue, Suite RBC 3100, Cleveland, OH 44106-6010, USA.

出版信息

Clin Perinatol. 2019 Sep;46(3):553-565. doi: 10.1016/j.clp.2019.05.006. Epub 2019 Jun 15.

DOI:10.1016/j.clp.2019.05.006
PMID:31345546
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6662623/
Abstract

Intermittent hypoxemia (IH) events are common during early postnatal life, particularly in preterm infants. These events have been associated with multiple morbidities, including retinopathy of prematurity, sleep disordered breathing, neurodevelopmental impairment, and mortality. The relationship between IH and poor outcomes may depend on the patterns (frequency, duration, and timing) of the IH events. Current treatment modalities used in the clinical setting have been only partially successful in reducing the incidence of apnea and accompanying IH, but the risks and benefits of more aggressive interventions should include knowledge of the relationship between IH and morbidity.

摘要

间歇性低氧血症(IH)在新生儿早期很常见,尤其是早产儿。这些事件与多种疾病有关,包括早产儿视网膜病变、睡眠呼吸障碍、神经发育障碍和死亡率。IH 与不良结局之间的关系可能取决于 IH 事件的模式(频率、持续时间和时间)。目前临床应用的治疗方法仅部分成功地降低了呼吸暂停和伴随 IH 的发生率,但更积极干预的风险和益处应包括了解 IH 与发病率之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/6662623/69f100dd9e67/nihms-1529200-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/6662623/df8400cbd599/nihms-1529200-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/6662623/61c92535f0ca/nihms-1529200-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/6662623/69f100dd9e67/nihms-1529200-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/6662623/df8400cbd599/nihms-1529200-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/6662623/61c92535f0ca/nihms-1529200-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4ca/6662623/69f100dd9e67/nihms-1529200-f0003.jpg

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Cognitive Outcomes of Children Born Extremely or Very Preterm Since the 1990s and Associated Risk Factors: A Meta-analysis and Meta-regression.20 世纪 90 年代以来极早产儿和极早产儿认知结局及其相关危险因素的 Meta 分析和 Meta 回归。
JAMA Pediatr. 2018 Apr 1;172(4):361-367. doi: 10.1001/jamapediatrics.2017.5323.
3
High versus standard dose caffeine for apnoea: a systematic review.
对足月后矫正年龄的支气管肺发育不良婴儿理想血氧饱和度目标的初步见解。
Ann Am Thorac Soc. 2025 Apr;22(4):482-484. doi: 10.1513/AnnalsATS.202501-086ED.
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Effect of Study-Duration and Time of Day on Multichannel Sleep Study Findings in Former Preterm Infants.研究时长和一天中的时间对 former 早产儿多导睡眠研究结果的影响。 注:这里“former”在医学语境中可能有误,或许应该是“former preterm infants”即“ former premature infants”( former 早产儿),按照准确意思翻译更合理,但按照给定文本逐字翻译就是上述译文。
Children (Basel). 2025 Jan 8;12(1):74. doi: 10.3390/children12010074.
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