The Journal of Pediatrics2026年8月26日

動脈導管未閉之預期治療與早期布洛芬治療長期療效:BeNeDuctus 試驗24個月追蹤

// Long-Term Outcomes of Expectant Management Versus Early Ibuprofen for Patent Ductus Arteriosus: 24-Month Follow-Up of the BeNeDuctus Trial

本研究比較極早產嬰兒動脈導管未閉(PDA)採取期待性管理與早期布洛芬治療的存活率及神經發展結果|234名嬰兒隨機試驗結果顯示,兩組在無神經發展障礙存活率上無顯著差異|成長、神經檢查與感覺障礙等結局亦相似,指出早期布洛芬治療對存活和神經發展無明顯優勢。

// This study compared survival and neurodevelopmental outcomes at 24 months' corrected age between expectant management and early ibuprofen treatment in extremely preterm infants with PDA. In a randomized trial with 234 infants, no difference was found in survival without neurodevelopmental impairment between the two groups. Additional outcomes like growth, neurological exam, and sensory impairments were also similar. The findings suggest early ibuprofen treatment offers no advantage over expectant management for these infants' survival and neurodevelopment.

Published 2026年8月24日

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