Sinclair J C
Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
Birth Defects Orig Artic Ser. 1988;24(1):11-21.
A large and growing body of evidence based in large part on randomized clinical trials of therapy has established the efficacy of neonatal intensive care. The efficacy of neonatal intensive care is "leveraged" by highly efficient regional programs for ascertainment and referral of patients at risk. Thus the impact of neonatal ICUs is keenly felt in the community. The population incidence of ROP and its sequelae may be expected to rise as infants at highest risk--those at the border of viability--survive in increasing numbers.
大量且不断增加的证据(很大程度上基于治疗的随机临床试验)证实了新生儿重症监护的有效性。高效的区域项目用于确定和转诊高危患者,从而“提升了”新生儿重症监护的效果。因此,新生儿重症监护病房在社区中的影响非常显著。随着最高危婴儿(即处于存活临界状态的婴儿)存活数量的不断增加,预计早产儿视网膜病变及其后遗症的人群发病率将会上升。