Антенатальная профилактика респираторного дистресс-синдрома плода: взгляд в будущее
- Авторы: Ходжаева З.С.1, Горина К.А.1
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Учреждения:
- ФГБУ «НМИЦАГиП им. академика В.И. Кулакова» Минздрава России
- Выпуск: № 5 (2019)
- Страницы: 12-18
- Раздел: Статьи
- URL: https://journals.eco-vector.com/0300-9092/article/view/248484
- DOI: https://doi.org/10.18565/aig.2019.5.12-18
- ID: 248484
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Аннотация
Проведен поиск и анализ литературы, посвященной исследованию влияния и анализу последствий нерационального применения антенатальной профилактики респираторного-дистресс синдрома (РДС) у плода, а также оценке потенциальных методов ее объективизации. Нерациональное применение глюкокортикостероидов (ГКС) оказывает влияние на долгосрочные когнитивные, поведенческие, психологические и физические исходы, что особенно важно, учитывая, что у 50% женщин беременность пролонгируется через 7-14 дней после первого курса профилактики. Функциональные и лабораторные тесты определения зрелости легких плода (ЗЛП) позволяют избежать необоснованного назначения препаратов для профилактики РДС. Антенатальная профилактика РДС плода является одним из наиболее частых инструментов в руках акушеров, поэтому вопросы пре- и перинатального программирования, когда развитие заболеваний во взрослом возрасте обусловлены лекарственной нагрузкой, полученной во внутриутробном периоде должны быть под особым контролем.
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Об авторах
Зульфия Сагдуллаевна Ходжаева
ФГБУ «НМИЦАГиП им. академика В.И. Кулакова» Минздрава России
Email: zkhodjaeva@mail.ru
д.м.н., профессор, заведующая 1-м акушерским отделением патологии беременности
Ксения Алексеевна Горина
ФГБУ «НМИЦАГиП им. академика В.И. Кулакова» Минздрава России
Email: k_gorina@oparina4.ru
младший научный сотрудник 1-го акушерского отделения патологии беременности
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