¹Ì¼÷¾Æ ¹«È£ÈíÀ» À§ÇÑ ºñ° Áö¼ÓÀû ¾ç¾Ðȯ±â¹ý È¿°ú¿¡ ´ëÇÑ Ã¼°èÀû °íÂû
Systematic Review of Effects of Nasal Continuous Positive Airway Pressure on Apnea of Preterm Infants
¾Æµ¿°£È£ÇÐȸÁö 2014³â 20±Ç 3È£ p.225 ~ p.235
±èÀºÁÖ(Kim Eun-Joo) - »óÁö´ëÇб³ °£È£Çаú
Abstract
Purpose: The purpose of this study was to analysis the effects of nasal Continuous Postive Airway Pressure (nCPAP) for preterm infants using systematic review and meta-analysis.
Methods: Thirteen peer-reviewed journals including preterm infants and apnea and nCPAP published between 1973 and 2013 were included. Effect size and statistics of homogeneity were done using STATA 10.0.
Results: The design for 9 studies was Randomized Control Trial. In most of studies the pressure of nCPAP was set to 4-6 cmH2O. The effect size of 5 studies for the effect on apnea rate using nCPAP compared to nasal Intermittent Positive Pressure Ventilator (nIPPV) showed that the Standardized Mean Difference (SMD) was -0.11 and was not significantly different (Z=0.41, p=.680). But the difference in nCPAP for nasal Synchronizes Intermittent Positive Pressure Ventilator (nSIPPV) (subgroup) was significant (SMD=-.44). The effect size of 7 studies on effect for ventilator weaning of using nCPAP compared to nIPPV showed the Risk Ratio (RR) as 1.60 and was not significantly different (Z=1.12, p=.268). But the difference between nCPAP and nSIPPV (subgroup) was significant (RR=3.94).
Conclusion: The results indicate a need for an advanced care system and suggest continuous studies of apnea in preterm infants.
Å°¿öµå
¸ÞŸºÐ¼®, ü°èÀû °íÂû, Áö¼ÓÀû ¾ç¾Ðȯ±â¹ý, ¹Ì¼÷¾Æ
Review, Continuous Positive Airway Pressure, Apnea, Infant, Premature
KMID :
0606120140200030225
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)