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支气管肺发育不良患儿出生后28天发生肺动脉高压的新生儿期相关因素。

Factors in the Neonatal Period Associated With Pulmonary Hypertension at 28 Days of Life in Broncho-Pulmonary Dysplasia.

作者信息

Anh Nguyen Thi Hai, Minh Dien Tran, Thi Ha Le, Thao Nguyen Pham, Thi Hai Van Dang

机构信息

Ha Noi Medical University, Hanoi, Vietnam.

Vietnam National Children's Hospital, Hanoi, Vietnam.

出版信息

Glob Pediatr Health. 2024 Mar 3;11:2333794X241234571. doi: 10.1177/2333794X241234571. eCollection 2024.

DOI:10.1177/2333794X241234571
PMID:38440333
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10910877/
Abstract

To identify factors associated with pulmonary hypertension (PH) at 28 days of life in preterm infants with bronchopulmonary dysplasia (BPD). . This observational study included 128 premature infants with BPD between January 2022 and February 2023 from the neonatal intensive care unit of Vietnam National Children's Hospital. . PH was observed using echocardiography in 29 patients (22.66%). The prevalence of severe BPD in the PH group (62.07%) was significantly higher than that in the non-PH group (18.18%). The multivariate logistic regression showed 2 predictors of PH in BPD: invasive mechanical ventilation up to 28 days of life (odds ratio [OR]:9.440; 95% confidence interval [CI]: 3.090-28.833;  < .001) and history of shock (OR: 2.962; 95% CI: 1.067-8.225;  = .037). We found 2 predictors of PH at 28 days of life in BPD: invasive mechanical ventilation up to 28 days of life and history of shock.

摘要

确定支气管肺发育不良(BPD)早产儿出生28天时与肺动脉高压(PH)相关的因素。这项观察性研究纳入了2022年1月至2023年2月期间越南国家儿童医院新生儿重症监护病房的128例患有BPD的早产儿。通过超声心动图观察到29例患者(22.66%)存在PH。PH组中重度BPD的患病率(62.07%)显著高于非PH组(18.18%)。多因素逻辑回归显示BPD中PH的2个预测因素:出生28天内的有创机械通气(比值比[OR]:9.440;95%置信区间[CI]:3.090 - 28.833;P <.001)和休克病史(OR:2.962;95% CI:1.067 - 8.225;P = 0.037)。我们发现BPD患儿出生28天时PH的2个预测因素:出生28天内的有创机械通气和休克病史。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b74/10910877/bd9e196a3054/10.1177_2333794X241234571-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b74/10910877/bd9e196a3054/10.1177_2333794X241234571-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b74/10910877/bd9e196a3054/10.1177_2333794X241234571-fig1.jpg

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本文引用的文献

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Pulmonary hypertension in infants with bronchopulmonary dysplasia: risk factors, mortality and duration of hospitalisation.支气管肺发育不良婴儿的肺动脉高压:危险因素、死亡率和住院时间。
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Incidence, risk factors, and outcomes of pulmonary hypertension in preterm infants with bronchopulmonary dysplasia.支气管肺发育不良早产儿肺动脉高压的发病率、危险因素及预后
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Evaluation and Management of Pulmonary Hypertension in Children with Bronchopulmonary Dysplasia.支气管肺发育不良患儿肺动脉高压的评估与管理
J Pediatr. 2017 Sep;188:24-34.e1. doi: 10.1016/j.jpeds.2017.05.029. Epub 2017 Jun 20.
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Risk Factors for Development of Pulmonary Hypertension in Infants with Bronchopulmonary Dysplasia: Systematic Review and Meta-Analysis.支气管肺发育不良婴儿肺动脉高压发展的危险因素:系统评价和荟萃分析。
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PLoS One. 2016 Oct 7;11(10):e0163904. doi: 10.1371/journal.pone.0163904. eCollection 2016.
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Trends in Care Practices, Morbidity, and Mortality of Extremely Preterm Neonates, 1993-2012.1993 - 2012年极早产儿的护理实践、发病率及死亡率趋势
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