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[维生素E对人工通气新生儿支气管肺发育不良发生的影响。一项前瞻性随机研究]

[Influence of vitamin E on the development of bronchopulmonary dysplasia in neonates with artificial ventilation. A prospective randomized study].

作者信息

Zöberlein H G, Freudenberg V, Wehinger H

出版信息

Monatsschr Kinderheilkd. 1982 Sep;130(9):706-9.

PMID:7144761
Abstract

In a prospectively randomized study we investigated the influence of vitamin E on the development of bronchopulmonary dysplasia (BPD) in neonates with artificial ventilation. Out of 78 neonates two randomized groups of each 39 were formed; one was treated, the other served as control group. We evaluated the cases of those children who remained on respiratory therapy for more than 3 days and who survived 14 days or longer, 19 in each group. The vitamin E treated infants received 20 mg/kg vitamin E i.m. daily during artificial ventilation, but not longer than 14 days. A total of 5 infants (13%) developed BPD, 3 in the vitamin E group, 2 in the control group. All patients with BPD died after 1/2-4 months. After 3 months 17 treated and 16 untreated infants survived. X-rays of the lungs were normal in 12 and 13 respectively. These results do not suggest a beneficial effect of vitamin E in respirator-treated newborn infants.

摘要

在一项前瞻性随机研究中,我们调查了维生素E对人工通气的新生儿支气管肺发育不良(BPD)发生发展的影响。78例新生儿被随机分为两组,每组39例;一组接受治疗,另一组作为对照组。我们评估了那些接受呼吸治疗超过3天且存活14天或更长时间的儿童病例,每组各19例。接受维生素E治疗的婴儿在人工通气期间每天肌肉注射20mg/kg维生素E,但不超过14天。共有5例婴儿(13%)发生了BPD,维生素E组3例,对照组2例。所有患BPD的患者在1/2 - 4个月后死亡。3个月后,17例接受治疗的婴儿和16例未接受治疗的婴儿存活。肺部X光片分别有12例和13例显示正常。这些结果并未表明维生素E对接受呼吸机治疗的新生儿有有益作用。

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