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早产儿何时应从新生儿病房出院回家?

When should pre-term babies be sent home from neonatal units?

作者信息

Davies D P, Haxby V, Herbert S, McNeish A S

出版信息

Lancet. 1979 Apr 28;1(8122):914-5. doi: 10.1016/s0140-6736(79)91386-2.

DOI:10.1016/s0140-6736(79)91386-2
PMID:86677
Abstract

20 randomly selected infants of 33 weeks gestation and under at birth were allowed to go home from the neonatal unit provided they were clinically well and had passed the nadir of their postnatal weight-loss and provided home conditions were satisfactory. Weight-gain at home was satisfactory and there was no increased rate of hospital readmission compared with 20 randomly selected pre-term infants who were discharged at a more traditional weight of 2200 g. There is therefore little justification for the widespread practice in Britain of delaying discharge of preterm infants until they reach a predetermined weight (usually 2000--2500 g).

摘要

随机挑选出20名出生时孕周为33周及以下的婴儿,只要他们临床状况良好,已度过出生后体重下降的最低点,且家庭条件令人满意,就允许他们从新生儿病房出院回家。这些婴儿在家中的体重增加情况令人满意,与20名随机挑选的、以更传统的2200克体重出院的早产儿相比,再次入院率并没有增加。因此,在英国,普遍将早产儿出院时间推迟到他们达到预定体重(通常为2000 - 2500克)的做法几乎没有道理。

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When should pre-term babies be sent home from neonatal units?早产儿何时应从新生儿病房出院回家?
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引用本文的文献

1
Early discharge with home support of gavage feeding for stable preterm infants who have not established full oral feeds.对于尚未完全建立经口喂养的稳定早产婴儿,在家庭支持下进行管饲喂养并早期出院。
Cochrane Database Syst Rev. 2025 May 13;5(5):CD003743. doi: 10.1002/14651858.CD003743.pub3.
2
Early discharge with home support of gavage feeding for stable preterm infants who have not established full oral feeds.对于尚未完全建立经口喂养的稳定早产儿,在家庭支持下进行管饲喂养并早期出院。
Cochrane Database Syst Rev. 2015 Jul 8;2015(7):CD003743. doi: 10.1002/14651858.CD003743.pub2.
3
Early discharge of low birthweight infants.
低出生体重儿的早期出院
Arch Dis Child. 1982 Jul;57(7):511-3. doi: 10.1136/adc.57.7.511.
4
Discharge of preterm babies from neonatal units.早产儿从新生儿病房出院。
Br Med J (Clin Res Ed). 1982 Jan 23;284(6311):233-4. doi: 10.1136/bmj.284.6311.233.
5
Special care nurseries: admitting to a policy.特殊护理托儿所:接纳一项政策。
Br Med J (Clin Res Ed). 1983 Nov 19;287(6404):1524-7. doi: 10.1136/bmj.287.6404.1524.
6
Costs and benefits of a community special care baby service.社区特殊护理婴儿服务的成本与效益
Br Med J (Clin Res Ed). 1988 Apr 9;296(6628):1043-6. doi: 10.1136/bmj.296.6628.1043.
7
When will my baby go home?我的宝宝什么时候可以回家?
Arch Dis Child. 1992 Oct;67(10 Spec No):1214-6. doi: 10.1136/adc.67.10_spec_no.1214.