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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Neonatal mortality from respiratory distress syndrome: lessons for low-resource countries.
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Neonatal mortality from respiratory distress syndrome: lessons for low-resource countries.

机译：呼吸窘迫综合征的新生儿死亡率：资源匮乏国家的经验教训。

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Respiratory distress syndrome (RDS) is a major contributor to neonatal mortality worldwide. However, little information is available regarding rates of RDS-specific mortality in low-income countries, and technologies for RDS treatment are used inconsistently in different health care settings. Our objective was to better understand the interventions that have decreased the rates of RDS-specific mortality in high-income countries over the past 60 years. We then estimated the effects on RDS-specific mortality in low-resource settings. Of the sequential introduction of technologies and therapies for RDS, widespread use of oxygen and continuous positive airway pressure were associated with the time periods that demonstrated the greatest decline in RDS-specific mortality. We argue that these 2 interventions applied widely in low-resource settings, with appropriate supportive infrastructure and general newborn care, will have the greatest impact on decreasing neonatal mortality. This historical perspective can inform policy-makers for the prioritization of scarce resources to improve survival rates for newborns worldwide.
机译：呼吸窘迫综合征（RDS）是导致全球新生儿死亡率的主要因素。但是，关于低收入国家RDS特定死亡率的信息很少，而且在不同的医疗机构中不一致地使用RDS治疗技术。我们的目标是更好地了解过去60年来降低了高收入国家RDS特定死亡率的干预措施。然后，我们估计了在资源贫乏地区对RDS特定死亡率的影响。在相继引入RDS技术和疗法后，氧气的广泛使用和持续的气道正压与证明RDS特异性死亡率下降幅度最大的时期有关。我们认为，这两种干预措施广泛应用于资源匮乏的地区，加上适当的支持基础设施和一般的新生儿护理，将对降低新生儿死亡率产生最大的影响。这种历史观点可以使决策者了解稀缺资源的优先次序，以提高全球新生儿的存活率。

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