Hulzebos Christian V
Beatrix Children's Hospital, University Medical Center Groningen, Groningen, The Netherlands.
Pediatr Res. 2024 Dec;96(7):1539-1540. doi: 10.1038/s41390-024-03434-7. Epub 2024 Aug 1.
Key message: Chest shielding during phototherapy does not reduce the incidence of symptomatic PDA in preterm infants and does not affect phototherapy's efficacy. This study adds to the existing literature by providing a double-blinded RCT confirming previous inconsistent findings on the impact of chest shielding on PDA incidence. However, phototherapy may exert cardiovascular changes, including vasodilatation.
Chest shielding should not be recommended to be routinely performed in preterm infants during phototherapy.
关键信息：光疗期间胸部遮挡并不能降低早产儿有症状动脉导管未闭（PDA）的发生率，也不影响光疗效果。本研究通过提供一项双盲随机对照试验（RCT），补充了现有文献，证实了之前关于胸部遮挡对PDA发生率影响的不一致研究结果。然而，光疗可能会引起心血管变化，包括血管扩张。
不建议在早产儿光疗期间常规进行胸部遮挡。
