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产前晚期早产儿皮质类固醇:ALPS 试验的演变。

Antenatal Late Preterm Steroids: The Evolution of the ALPS Trial.

机构信息

Department of Obstetrics, Gynecology, and Reproductive Sciences, Division of Maternal-Fetal Medicine, University of California, La Jolla, California.

出版信息

Clin Obstet Gynecol. 2024 Jun 1;67(2):399-410. doi: 10.1097/GRF.0000000000000865. Epub 2024 Apr 29.

DOI:10.1097/GRF.0000000000000865
PMID:38688083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11068095/
Abstract

The Antenatal Late Preterm Steroids (ALPS) trial was designed to address respiratory morbidity common in infants born late preterm. The study was published in April, 2016 and, shortly thereafter, changed clinical practice in obstetrics in the United States. The following chapter describes the ALPS trial study design in detail, including the background leading to the trial, the study outcomes, and the initial findings of the long-term follow-up study. The ALPS story would not be complete without Elizabeth Thom, PhD, who died before her time. Her brilliance largely contributed to the design of the ALPS trial.

摘要

产前晚期早产儿类固醇(ALPS)试验旨在解决晚期早产儿常见的呼吸发病率问题。该研究于 2016 年 4 月发表,此后不久,改变了美国产科的临床实践。以下章节详细描述了 ALPS 试验的研究设计,包括导致该试验的背景、研究结果以及长期随访研究的初步发现。如果没有伊丽莎白·汤姆博士(Elizabeth Thom, PhD),ALPS 的故事就不完整。她的才华主要为 ALPS 试验的设计做出了贡献。

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1
Antenatal Late Preterm Steroids: The Evolution of the ALPS Trial.产前晚期早产儿皮质类固醇:ALPS 试验的演变。
Clin Obstet Gynecol. 2024 Jun 1;67(2):399-410. doi: 10.1097/GRF.0000000000000865. Epub 2024 Apr 29.
2
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引用本文的文献

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本文引用的文献

1
Neurodevelopmental Outcomes After Late Preterm Antenatal Corticosteroids: The ALPS Follow-Up Study.晚期早产儿产前皮质类固醇治疗后的神经发育结局:ALPS 随访研究。
JAMA. 2024 May 21;331(19):1629-1637. doi: 10.1001/jama.2024.4303.
2
The proportions of term or late preterm births after exposure to early antenatal corticosteroids, and outcomes: systematic review and meta-analysis of 1.6 million infants.早孕期使用产前皮质激素后足月产或晚期早产儿的比例及其结局:160 万例婴儿的系统评价和荟萃分析。
BMJ. 2023 Aug 2;382:e076035. doi: 10.1136/bmj-2023-076035.
3
Antenatal Betamethasone for Women at Risk for Late Preterm Delivery.
对有晚期早产风险的女性使用产前倍他米松。
N Engl J Med. 2023 May 4;388(18):1728. doi: 10.1056/NEJMx220011.
4
Updating the balance between benefits and harms of antenatal corticosteroids requires appropriate causal inference.更新产前使用糖皮质激素的利弊平衡需要进行适当的因果推断。
Am J Obstet Gynecol. 2023 Jul;229(1):80-81. doi: 10.1016/j.ajog.2023.02.004. Epub 2023 Feb 10.
5
Births: Final Data for 2021.出生情况:2021年最终数据。
Natl Vital Stat Rep. 2023 Jan;72(1):1-53.
6
Updating the balance between benefits and harms of antenatal corticosteroids.更新产前糖皮质激素的利弊平衡。
Am J Obstet Gynecol. 2023 Feb;228(2):129-132. doi: 10.1016/j.ajog.2022.10.002. Epub 2022 Nov 14.
7
Associations Between Maternal Antenatal Corticosteroid Treatment and Psychological Developmental and Neurosensory Disorders in Children.母亲产前皮质类固醇治疗与儿童心理发育和神经感觉障碍的关系。
JAMA Netw Open. 2022 Aug 1;5(8):e2228518. doi: 10.1001/jamanetworkopen.2022.28518.
8
US Incidence of Late-Preterm Steroid Use and Associated Neonatal Respiratory Morbidity After Publication of the Antenatal Late Preterm Steroids Trial, 2015-2017.美国 2015-2017 年《产前晚期早产儿皮质类固醇试验》发表后晚期早产儿皮质类固醇使用与新生儿呼吸并发症的相关性研究
JAMA Netw Open. 2022 May 2;5(5):e2212702. doi: 10.1001/jamanetworkopen.2022.12702.
9
The impact of the Antenatal Late Preterm Steroids trial on the administration of antenatal corticosteroids.产前晚期早产儿皮质类固醇试验对产前皮质类固醇给药的影响。
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