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英格兰和威尔士新生儿阿片类药物戒断管理调查。

A survey of the management of neonatal opiate withdrawal in England and Wales.

作者信息

Morrison C L, Siney C

机构信息

Maryland Centre, Liverpool, UK.

出版信息

Eur J Pediatr. 1996 Apr;155(4):323-6. doi: 10.1007/BF02002721.

DOI:10.1007/BF02002721
PMID:8777928
Abstract

UNLABELLED

This report details the results of a survey of 213 maternity units in England and Wales concerning the use of neonatal opiate withdrawal (NOW) charts and the drug therapy management of babies born to drug using mothers. There was a response rate of 89.6%. NOW charts were used in 36.6% of units. There were eight different charts in use in which over 35 different signs of NOW were recorded, ranging from 10 to 22 on individual charts. Nine different drugs were used to manage NOW, with chlorpromazine most commonly used.

CONCLUSION

Drug misuse increasing in women of childbearing age and the management of the drug affected neonate varies widely, with inconsistent policies on determining the presence of NOW and how to treat it.

摘要

未标注

本报告详细介绍了对英格兰和威尔士213个产科病房进行的一项调查结果,该调查涉及新生儿阿片类药物戒断(NOW)图表的使用以及吸毒母亲所生孩子的药物治疗管理。回复率为89.6%。36.6%的病房使用NOW图表。使用的图表有八种不同类型,记录了超过35种不同的NOW体征,每个图表上的体征数量从10到22个不等。用于管理NOW的药物有九种不同类型,其中氯丙嗪使用最为普遍。

结论

育龄妇女药物滥用情况不断增加,对受药物影响新生儿的管理差异很大,在确定NOW的存在以及如何治疗方面政策不一致。

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本文引用的文献

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Neonatal abstinence syndrome after maternal methadone treatment.母亲接受美沙酮治疗后的新生儿戒断综合征
Arch Dis Child Fetal Neonatal Ed. 1994 Nov;71(3):F203-5. doi: 10.1136/fn.71.3.f203.
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Neonatal opiate withdrawal.新生儿阿片类药物戒断综合征
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Infants of drug-addicted mothers.吸毒母亲的婴儿。
为阿片类药物依赖母亲的婴儿提供母婴同室护理:在一家三级护理医院的实施与评估
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Skin conductance in neonates suffering from abstinence syndrome and unexposed newborns.患有戒断综合征的新生儿与未接触相关因素的新生儿的皮肤电导。
Eur J Pediatr. 2016 Jun;175(6):859-68. doi: 10.1007/s00431-016-2716-8. Epub 2016 Mar 30.
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What is the best evidence based management of neonatal abstinence syndrome?新生儿戒断综合征基于证据的最佳管理方法是什么?
Arch Dis Child Fetal Neonatal Ed. 2006 Nov;91(6):F463. doi: 10.1136/adc.2006.095166.
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A randomised controlled trial of morphine versus phenobarbitone for neonatal abstinence syndrome.吗啡与苯巴比妥治疗新生儿戒断综合征的随机对照试验。
Arch Dis Child Fetal Neonatal Ed. 2004 Jul;89(4):F300-4. doi: 10.1136/adc.2003.033555.
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Treatment of neonatal abstinence syndrome.新生儿戒断综合征的治疗
Arch Dis Child Fetal Neonatal Ed. 2003 Jan;88(1):F2-5. doi: 10.1136/fn.88.1.f2.
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Drug misusing parents: key points for health professionals.药物滥用的父母:卫生专业人员的要点
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Arch Dis Child. 1988 Jan;63(1):81-3. doi: 10.1136/adc.63.1.81.
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Neonatal opiate abstinence syndrome in term and preterm infants.足月儿和早产儿的新生儿阿片类药物戒断综合征
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