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- Title
低侵入性肺表面活性物质治疗技术治疗新生儿呼吸窘迫综合征有效性和安全性的 Meta 分析.
- Authors
霍梦月; 梅花; 张钰恒; 刘春枝; 胡亚楠; 宋丹
- Abstract
Objective To evaluate the efficacy and safety of less invasive surfactant administration (LISA) in the treatment of neonatal respiratory distress syndrome (NRDS). Methods PubMed, Cochrane Library, Embase, China Biology Medicine disc, China Scientific Journal Database, CNKI Database, and Wanfang Database were searched for randomized controlled trials (RCTs) on the use of LISA strategy in the treatment of NRDS. Literature screening and quality assessment were performed according to inclusion and exclusion criteria. Review Manager 5.3 software was used to perform the Meta analysis. Results A total of 9 RCTs were included, with a total of 1 212 children with NRDS. There were 611 children in the experimental group (treated with LISA strategy) and 601 children in the control group[treated with intubation-surfactant-extubation (INSURE) strategy]. The Meta analysis showed that the use of LISA strategy reduced the rate of mechanical ventilation within 72 hours after birth (OR=0.39, 95% CI:0.29-0.51, P < 0.001) and the incidence rates of bronchopulmonary dysplasia (OR=0.53, 95% CI:0.38-0.72, P < 0.001) and pneumothorax (OR=0.56, 95% CI:0.33-0.93, P=0.02). There were no significant differences in the mortality rate and incidence rates of other neonatal diseases between the two groups (P > 0.05). There was no significant difference in the rate of repeated use of pulmonary surfactant (PS) between the two groups (P > 0.05), but there was a higher incidence rate of PS reflux observed by LISA strategy (OR=2.60, 95% CI:1.64-4.12, P < 0.001). Conclusions Compared with INSURE strategy, LISA strategy has advantages in reducing the need for mechanical ventilation and the incidence rates of bronchopulmonary dysplasia and pneumothorax in children with NRDS.
- Subjects
RESPIRATORY distress syndrome; BRONCHOPULMONARY dysplasia; META-analysis; PULMONARY surfactant; SCIENCE databases
- Publication
Chinese Journal of Contemporary Pediatrics, 2020, Vol 22, Issue 7, p721
- ISSN
1008-8830
- Publication type
Article
- DOI
10.7499/j.issn.1008-8830.2001043