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高频振荡通气治疗新生儿胎粪吸入综合征的疗效

Effectiveness of high-frequency oscillatory ventilation for the treatment of neonatal meconium aspiration syndrome.

作者信息

Hao Li-Xia, Wang Fei

机构信息

Department of Neonatology.

Department of Ophthalmology, Yan'an University Affiliated Hospital, Yan'an, China.

出版信息

Medicine (Baltimore). 2019 Oct;98(43):e17622. doi: 10.1097/MD.0000000000017622.

DOI:10.1097/MD.0000000000017622
PMID:31651876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6824716/
Abstract

BACKGROUND

The purpose of this study is to raise nonjudgmental awareness and attention to current experience of high-frequency oscillatory ventilation (HFOV) for the treatment of neonatal meconium aspiration syndrome (NMAS).

METHODS

We will comprehensively search literature from the databases of Cochrane Library, PubMed, Embase, Web of Science, WorldSciNet, PsycINFO, Allied and Complementary Medicine Database, Chinese Biomedical Literature Database, and China National Knowledge Infrastructure from inception until July 1, 2019 without language limitation. We will also handle searching the bibliographies of all relevant studies found for unpublished literatures. Statistical analysis will be conducted using RevMan 5.3 software.

RESULTS

The outcomes include function inhaled oxygen concentration, oxygenation index, arterial oxygen tension/alveolar arterial oxygen tension, partial pressure of oxygen, partial pressure of carbon dioxide, transcutaneous arterial oxygen saturation, duration of hospitalization, and adverse events.

CONCLUSION

This study will provide an exhaustive view of HFOV for treating infants with NMAS.

PROSPERO REGISTRATION NUMBER

PROSPERO CRD42019140520.

摘要

背景

本研究旨在提高对高频振荡通气(HFOV)治疗新生儿胎粪吸入综合征(NMAS)当前经验的无偏见认识和关注。

方法

我们将全面检索Cochrane图书馆、PubMed、Embase、科学网、WorldSciNet、PsycINFO、补充与替代医学数据库、中国生物医学文献数据库和中国知网等数据库自创建至2019年7月1日的文献,无语言限制。我们还将检索所有相关研究的参考文献以查找未发表的文献。将使用RevMan 5.3软件进行统计分析。

结果

结果包括功能吸入氧浓度、氧合指数、动脉血氧分压/肺泡动脉血氧分压差、氧分压、二氧化碳分压、经皮动脉血氧饱和度、住院时间和不良事件。

结论

本研究将全面展示HFOV治疗NMAS婴儿的情况。

PROSPERO注册号:PROSPERO CRD42019140520。

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Zhongguo Dang Dai Er Ke Za Zhi. 2021;23(9):903-908. doi: 10.7499/j.issn.1008-8830.2106121.
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本文引用的文献

1
Current Concepts in the Management of Meconium Aspiration Syndrome.胎粪吸入综合征管理的当前概念
Indian J Pediatr. 2016 Oct;83(10):1125-30. doi: 10.1007/s12098-016-2128-9. Epub 2016 May 21.
2
Meconium aspiration syndrome: possible pathophysiological mechanisms and future potential therapies.胎粪吸入综合征:可能的病理生理机制及未来潜在治疗方法
Neonatology. 2015;107(3):225-230. doi: 10.1159/000369373.
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Surfactant for meconium aspiration syndrome in term and late preterm infants.足月儿和晚期早产儿胎粪吸入综合征用表面活性剂
Cochrane Database Syst Rev. 2014 Dec 14;2014(12):CD002054. doi: 10.1002/14651858.CD002054.pub3.
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Consequences of meconium stained amniotic fluid: what does the evidence tell us?羊水胎粪污染的后果:证据告诉了我们什么?
Early Hum Dev. 2014 Jul;90(7):333-9. doi: 10.1016/j.earlhumdev.2014.04.005. Epub 2014 Apr 30.
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Meconium aspiration syndrome: do we know?胎粪吸入综合征:我们了解吗?
Turk J Pediatr. 2011 Mar-Apr;53(2):121-9.
6
Management of meconium aspiration syndrome with highfrequency oscillatory ventilation.
Tunis Med. 2011 Jul;89(7):632-7.
7
Meconium aspiration syndrome: experiences in Taiwan.胎粪吸入综合征:台湾地区的经验
J Perinatol. 2008 Dec;28 Suppl 3:S43-8. doi: 10.1038/jp.2008.157.
8
Meconium aspiration syndrome: historical aspects.胎粪吸入综合征:历史回顾
J Perinatol. 2008 Dec;28 Suppl 3:S3-7. doi: 10.1038/jp.2008.162.
9
Obstetric approaches to the prevention of meconium aspiration syndrome.预防胎粪吸入综合征的产科方法。
J Perinatol. 2008 Dec;28 Suppl 3:S14-8. doi: 10.1038/jp.2008.145.
10
The role of complement in meconium aspiration syndrome.补体在胎粪吸入综合征中的作用。
J Perinatol. 2008 Dec;28 Suppl 3:S116-9. doi: 10.1038/jp.2008.148.