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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 13 - 19 (7page)
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Purpose: Ultrasonography is non-ionizing, easy to operate, and performed at bedside in neonatal intensive care unit (NICU). We investigated the incidence of respiratory distress syndrome (RDS) with or without using lung ultrasound (LUS) in late preterm infants with postnatal respiratory difficulties.
Methods: We retrospectively reviewed medical records of 494 late preterm infants born at 34–36 weeks’ gestation at Keimyung University Dongsan Medical Center. Fifty infants with postnatal respiratory difficulties were admitted to the NICU between May 2015 to October 2015 (period I), and forty-one were between November 2015 to February 2016 (period II). The diagnosis of RDS was based on chest radiography in period I. LUS was additionally performed at bedside in period II. All infants with RDS were received exogenous surfactant therapy.
Results: The overall incidence of RDS with surfactant replacement therapy was decreased in period II period II (9.4%, 20/212) compared to period I (14.5%, 41/282) (P=0.088). In terms of infants with postnatal respiratory difficulties, the incidence of RDS in period II (48.8%, 20/41) was significantly lower than that in period I (82.0%, 41/50) (P=0.001). There are no difference in the rate of reintubation, repeated doses of surfactant, oxygen demand at 48 hours after birth, air leak syndrome, pulmonary hemorrhage, persistent pulmonary hypertension of newborn, and mortality (P> 0.05).
Conclusion: We could decrease the incidence of RDS with surfactant replacement therapy by using LUS in late preterm infants with postnatal respiratory difficulties.
Further prospective studies are needed to apply LUS clinically to diagnose RDS.
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등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Altman M / 2013 / Risk factors for acute respiratory morbidity in moderately preterm infants / Paediatr Perinat Epidemiol 27 : 172 ~ 181
Bick B / 2012 / Born too soon: the global issue of preterm birth / Midwifery 28 : 341 ~ 342
Bober K / 2006 / Diagnostic utility of ultrasonography for respiratory distress syndrome in neonates / Med Sci Monit 12 : CR440 ~ CR446
Choi JS / 2012 / Policy Issues on neonatal intensive care for low birth weight infants
Copetti R / 2007 / The 'double lung point': an ultrasound sign diagnostic of transient tachypnea of the newborn / Neonatology 91 : 203 ~ 209
Bick B / 2012 / Born too soon: the global issue of preterm birth / Midwifery 28 : 341 ~ 342
Bober K / 2006 / Diagnostic utility of ultrasonography for respiratory distress syndrome in neonates / Med Sci Monit 12 : CR440 ~ CR446
Choi JS / 2012 / Policy Issues on neonatal intensive care for low birth weight infants
Copetti R / 2007 / The 'double lung point': an ultrasound sign diagnostic of transient tachypnea of the newborn / Neonatology 91 : 203 ~ 209
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