The value of the postnatal examination in improving child health
The value of the postnatal examination in improving child health
复制标题
产后检查对改善儿童健康的价值
DOI：
10.1136/adc.2007.122465
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Sam Oddie
中科院分区：
文献类型：
--
作者：
Kathryn Green;Sam Oddie
本文回顾了有关新生儿期标准化检查是否能改善婴儿健康的证据。审查考虑了提供这种服务的各个方面，从检查的时间和次数到应由谁进行检查，以及是否有证据支持目前的做法。异常风险较高的婴儿，如早产儿，也被强调出来。检查本身的方面进行审查，如先天性心脏病的检测，以及相对较差的检测率，似乎没有改善。潜在的优势，额外的筛选与脉搏血氧饱和度。本文还讨论了筛查发育性髋关节发育不良，英国国家筛查理事会不确定的好处，检测所有腭裂病例的困难和筛查非常重要的先天性白内障的问题。作者提请注意某些疾病的相对罕见性，并反思了这如何使筛查复杂化。
This paper reviews the evidence regarding whether a standardised examination in the newborn period can improve infant health. The review considers aspects of delivering such a service from timing and number of examinations through to who should perform examinations, and whether evidence supports current practice. Infants at higher risk of anomaly such as those born preterm are highlighted. Aspects of the examination itself are reviewed, such as detection of congenital heart disease, and the relatively poor detection rate which does not seem to be improving. Potential advantages of additional screening with pulse oximetry are covered. The paper also discusses screening for developmental dysplasia of the hip, which the UK national screening council is unsure of the benefit of, the difficulties of detecting all cases of cleft palate and problems with screening for the very important congenital cataract. The authors draw attention to the relative rarity of some conditions and reflected on how this complicates screening.