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与对照组相比,4至6岁的早产儿患特应性疾病和呼吸功能异常的风险并不更高。

Premature Infants have no Higher Risk of Atopy and Respiratory Functions Compared to Control at 4-6 Years of Age.

作者信息

Satar Mehmet, Güven Tuğçe, Şimşek Hüseyin, Ufuk Altıntaş Derya

机构信息

Department of Pediatrics, Division of Neonatology, Faculty of Medicine, Çukurova University, Adana, Turkey.

Department of Pediatrics, Faculty of Medicine, Çukurova University, Adana, Turkey.

出版信息

Curr Pediatr Rev. 2022;19(1):99-104. doi: 10.2174/1573396318666220417183655.

Abstract

AIMS

This study aimed to evaluate the respiratory functions and atopy conditions of preterm infants treated with aminophylline or caffeine for apnea in NICU in early childhood.

MATERIALS AND METHODS

This is a retrospective cohort study. In this study, 27 patients aged 4 to 6 years hospitalized in NICU for prematurity and 26 healthy children were included. The subjects were evaluated for fx5, phadiatope, total IgE levels, skin tests, and respiratory function tests.

RESULTS

There was no statistically significant difference among groups in terms of fx5, phadiatope, total IgE levels, and skin test results. Moreover, no statistically significant difference was found among the groups in terms of FVC, FEV, FEV/ FVC, PEF, MEF, MEF, MEF, and MEF values in respiratory function tests. Preterm neonates with bronchopulmonary dysplasia (BPD) had higher FEV values compared to ones without BPD (p=0.02).

CONCLUSION

Preterm infants treated with aminophylline or caffeine did not have a higher risk of atopy and had similar respiratory function tests compared to healthy infants at 4-6 years old. However, FEV values were higher in infants with BPD. These results suggested that respiratory functions could be affected in the long-term follow-up of premature infants with BPD.

摘要

目的

本研究旨在评估在新生儿重症监护病房(NICU)接受氨茶碱或咖啡因治疗呼吸暂停的早产儿在儿童早期的呼吸功能和特应性状况。

材料与方法

这是一项回顾性队列研究。本研究纳入了27名因早产在NICU住院的4至6岁患者以及26名健康儿童。对受试者进行了fx5、嗜碱粒细胞特异性IgE检测、总IgE水平、皮肤试验和呼吸功能测试。

结果

在fx5、嗜碱粒细胞特异性IgE检测、总IgE水平和皮肤试验结果方面,各组之间无统计学显著差异。此外,在呼吸功能测试中的用力肺活量(FVC)、第1秒用力呼气容积(FEV)、FEV/FVC、呼气峰值流速(PEF)、最大呼气中期流速(MEF)25%、MEF50%、MEF75%值方面,各组之间也未发现统计学显著差异。与无支气管肺发育不良(BPD)的早产儿相比,患有BPD的早产儿FEV值更高(p = 0.02)。

结论

与4至6岁的健康婴儿相比,接受氨茶碱或咖啡因治疗的早产儿患特应性疾病的风险并不更高,且呼吸功能测试结果相似。然而,患有BPD的婴儿FEV值更高。这些结果表明,患有BPD的早产儿在长期随访中呼吸功能可能会受到影响。

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