Field D J, Milner A D, Hopkin I E, Madeley R J
Department of Neonatal Medicine and Surgery, City Hospital, Nottingham, England.
Pediatr Pulmonol. 1987 Jul-Aug;3(4):231-5. doi: 10.1002/ppul.1950030407.
Using the current Nottingham Health District, England, as a geographically defined population we have investigated the changing patterns of neonatal respiratory diseases. We have categorized all newborns who developed a respiratory problem during either 1977 or between April 1, 1983, and March 31, 1984 using a system based on that of Hjalmarson (Acta Paediatr Scand 1981; 70:773-783). There has been no change in the incidence of any of the disease types. However, the gestation of babies in two groups, idiopathic respiratory distress syndrome (IRDS) and minimal respiratory disturbance (requiring added oxygen for less than 6 hours), has shown a significant reduction. Overall, mortality for infants developing IRDS has shown a slight decrease, and for infants between 29 and 32 weeks gestation, mortality has shown a significant reduction. Overall, requirements for oxygen therapy and ventilation have shown a threefold increase, while hours in receipt of continuous positive airways pressure (CPAP) have increased sevenfold.
以英国当前的诺丁汉健康区作为一个地理上界定的人群，我们研究了新生儿呼吸道疾病的变化模式。我们使用基于 Hjalmarson （《儿科学报》1981 年；70:773 - 783）的系统，对在 1977 年或 1983 年 4 月 1 日至 1984 年 3 月 31 日期间出现呼吸道问题的所有新生儿进行了分类。任何疾病类型的发病率均未发生变化。然而，两组婴儿的孕周出现了显著下降，这两组分别是特发性呼吸窘迫综合征（IRDS）和轻微呼吸障碍（需吸氧少于 6 小时）。总体而言，患 IRDS 的婴儿死亡率略有下降，孕周在 29 至 32 周之间的婴儿死亡率显著下降。总体而言，氧疗和通气需求增加了两倍，而接受持续气道正压通气（CPAP）的时长增加了七倍。
