Respiratory disease in very-low-birthweight infants after prenatal thyrotropin-releasing hormone and glucocorticoid

作者: R.A. Ballard , P.L. Ballard , M. Bracken , F.R. Moya , I. Gross

DOI: 10.1016/0140-6736(92)90337-3

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摘要: Abstract Although prenatal glucocorticoid treatment reduces neonatal respiratory morbidity, distress syndrome and chronic lung disease (CLD) develop in many very-low-birthweight infants despite therapy. To investigate the effect of additional with thyrotropin-releasing hormone (TRH), we did a multicentre, blinded, randomised trial. 404 women threatened preterm delivery at less than 32 weeks' gestation received betamethasone plus TRH (4 doses 400 μg 8-hourly) or placebo. 103 who were fully treated 1 500 g birthweight evaluated during period. (55 infants) not affect total incidence (47% vs 58% controls) severe (13% 25% controls, p=0·11). CLD (defined as requirement for supplemental oxygen 28 days after birth) developed significantly fewer TRH-treated (18% 44% p

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