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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 162 - 168 (7page)
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Purpose: Comparison between lung ultrasound (LUS) score and indices of respiratory severity in very preterm infants born at 28 to 31 weeks’ gestation. Methods: We retrospectively reviewed medical records of 32 very preterm infants born at 28 to 31 weeks’ gestation at Keimyung University Dongsan Medical Center. Before surfactant administration, bedside LUS in the neonatal intensive care unit was recorded within the first hour of life. Partial pressure of capillary oxygen to fraction of inspired oxygen ratio (PcO2)/FiO2, alveolar-arterial gradient (A-aO2), modified oxygenation index (OI), and arterial to alveolar ratio were calculated. Correlation between LUS score and indices of respiratory severity were analyzed between the intubation and nasal continuous positive airway pressure (NCPAP) groups depending on the presence or absence of endotracheal intubation. Results: Mean LUS scores, A-aO2, and modified OI in the intubation group were significantly higher than those in the NCPAP group. Conversely, PcO2/FiO2 and arterial to alveolar ratios in the intubation group were significantly lower than those in the NCPAP group. LUS score was found to be significantly correlated with A-aO2 (r=0.448, P<0.05) and modified OI (r=0.453, P<0.05), but not with PcO2/FiO2 ratio (r=–0.205, P> 0.05) and arterial to alveolar ratio (r=–0.190, P>0.05). Conclusion: The LUS score is well correlated with indices of respiratory severity in very preterm infants born at 28 to 31 weeks’ gestation. Further investigation is needed to use LUS as an alternative tool in infants with respiratory distress.
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참고문헌 (31)
참고문헌 신청
Committee on Fetus and Newborn / 2014 / Respiratory support in preterm infants at birth / Pediatrics 133:171~174
Iliodromiti Z / 2013 / Acute lung injury in preterm fetuses and neonates: mechanisms and molecular pathways / J Matern Fetal Neonatal Med 26:1696~1704
Morley CJ / 2008 / Nasal CPAP or intubation at birth for very preterm infants / N Engl J Med 358:700~708
SUPPORT Study Group of the Eunice Kennedy Shriver NICHD Neonatal Research Network / 2010 / Early CPAP versus surfactant in extremely preterm infants / N Engl J Med 362:1970~1979
Dunn MS / 2011 / Randomized trial comparing 3 approaches to the initial respiratory management of preterm neonates / Pediatrics 128:e1069~e1076
Iliodromiti Z / 2013 / Acute lung injury in preterm fetuses and neonates: mechanisms and molecular pathways / J Matern Fetal Neonatal Med 26:1696~1704
Morley CJ / 2008 / Nasal CPAP or intubation at birth for very preterm infants / N Engl J Med 358:700~708
SUPPORT Study Group of the Eunice Kennedy Shriver NICHD Neonatal Research Network / 2010 / Early CPAP versus surfactant in extremely preterm infants / N Engl J Med 362:1970~1979
Dunn MS / 2011 / Randomized trial comparing 3 approaches to the initial respiratory management of preterm neonates / Pediatrics 128:e1069~e1076
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