کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4166619 1607531 2008 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A Randomized Controlled Trial of Theophylline Versus CO2 Inhalation for Treating Apnea of Prematurity
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
پیش نمایش صفحه اول مقاله
A Randomized Controlled Trial of Theophylline Versus CO2 Inhalation for Treating Apnea of Prematurity
چکیده انگلیسی

ObjectiveTo determine whether inhalation of 0.8% CO2 in preterm infants decreases the duration and rate of apnea as effectively as or better than theophylline with fewer adverse side effects.Study designA prospective, randomized, control study of 42 preterm infants of gestational age 27 to 32 weeks assigned to receive inhaled CO2 (n = 21) or theophylline (n = 21). The study group had a mean (± standard error of the mean) birth weight of 1437 ± 57 g, gestational age of 29.4 ± 0.3 weeks, and postnatal age of 43 ± 4 days. After a control period, 0.8% CO2 or theophylline was given for 2 hours, followed by a recovery period.ResultsIn the CO2 group, apneic time and rate decreased significantly, from 9.4 ± 1.6 seconds/minute and 94 ± 15 apneic episodes/hour to 3.0 ± 0.5 seconds/minute and 34 ± 5 apneic episodes/hour. In the theophylline group, apneic time and rate decreased significantly, from 8 ± 1 seconds/minute and 80 ± 8 apneic episodes/hour to 2.5 ± 0.4 seconds/minute and 28 ± 3 apneic episodes/hour. Cerebral blood flow velocity (CBFV) decreased only during theophylline administration.ConclusionsOur findings suggest that inhaled low (0.8%) CO2 concentrations in preterm infants is at least as effective as theophylline in decreasing the duration and number of apneic episodes, has fewer side effects, and causes no changes in CBFV. We speculate that CO2 may be a better treatment for apnea of prematurity than methylxanthines.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Pediatrics - Volume 153, Issue 4, October 2008, Pages 513–518
نویسندگان
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