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目的:探讨枸橼酸咖啡因治疗早产儿呼吸暂停(AOP)的疗效。方法:选择2012年1月至2016年1月广州医科大学附属第二医院收治疗的100例胎龄27~34周呼吸暂停早产儿。按治疗方式不同分为两组各50例,观察组应用枸橼酸咖啡因,对照组应用氨茶碱。比较两组治疗的有效率、并发症等。结果:观察组和对照组有效率分别为88%、66%,差异具有统计学意义(P<0.05)。观察组心率增快、喂养不耐受、支气管肺发育、动脉导管未闭不良发生率低于对照组,差异具有统计学意义(P<0.05)。结论:枸橼酸咖啡因治疗AOP较氨茶碱临床效果更好,不良反应发生率明显降低。
Objective: To investigate the efficacy of citrate caffeine in the treatment of apnea (AOP) in preterm infants. Methods: From January 2012 to January 2016, 100 cases of apnea-premature infants with gestational age of 27-34 weeks were enrolled in the Second Affiliated Hospital of Guangzhou Medical University. According to the different treatment groups were divided into two groups of 50 cases, the observation group applied citrate caffeine, the control group applied aminophylline. Compare the two groups of treatment efficiency, complications and so on. Results: The effective rates of the observation group and the control group were 88% and 66%, respectively, with statistical significance (P <0.05). The observation group had higher heart rate, feeding intolerance, bronchopulmonary development and patent ductus arteriosus. The difference was statistically significant (P <0.05). CONCLUSION: Citrate caffeine is more effective in treating AOP than aminophylline, and the incidence of adverse reactions is significantly lower.