摘要
中晚期早产(MLPT)应避免出现常见的围生期问题.与足月新生儿相比,MLPT容易出现呼吸系统并发症、喂养困难、低血糖、低体温、高胆红素血症和神经发育迟缓,远期出现营养发育迟缓、学习和长期教育、注意力缺陷多动障碍(ADHD)及孤独症谱系障碍(ASD)等问题.MLPT出生的婴儿面临着较高的发病率和死亡率、较长住院时间、较高再入院率和巨大公共卫生负担,MLPT后可能存在长期不同程度的发育不良结局.因此,应该更加关注随访护理,定期重新评估,制定更全面的干预措施和治疗对策.
Abstract
Common perinatal problems should be avoided in middle and late preterm infants(MLPT).Compared with full-term newborns,MLPT are more likely to have respiratory complications,feeding difficulties,hypoglycemia,hypo-thermia,hyperbilirubinemia,and neurodevelopmental delays,as well as later developmental delays in nutrition,learning and long-term education,attention deficit hyperactivity disorder,and autism spectrum disorder.Infants born with MLPT face higher morbidity and mortality,longer hospital stays,higher readmission rates,and a large public health burden,and there may be long-term varying degrees of stunted outcomes after MLPT.Therefore,more attention should be paid to follow-up care,regular re-evaluation,and more comprehensive interventions and treatment strategies should be developed.
NETL
NSTL
万方数据