Cincinnati Children's Hospital Medical Center, Division of Neonatology, Cincinnati, Ohio, USA.
Clin Pharmacol Ther. 2018 Jun;103(6):979-981. doi: 10.1002/cpt.958. Epub 2017 Dec 29.
Opioid neonatal abstinence syndrome (NAS) refers to signs of withdrawal observed in infants experiencing intrauterine opioid exposures. Early identification of at-risk infants allows for the prompt initiation of nonpharmacologic supportive care. When withdrawal symptoms are severe despite these interventions, pharmacologic therapy including opioid weaning is initiated. Consistency with standardized nonpharmacologic approaches as well as stringent weaning protocols are important in minimizing the length of stay and length of pharmacologic treatment for these vulnerable patients.
阿片类药物新生儿戒断综合征(NAS)是指在宫内接触阿片类药物的婴儿出现的戒断症状。早期识别高危婴儿可及时开始非药物支持性护理。尽管进行了这些干预,但如果戒断症状严重,仍需开始药物治疗,包括阿片类药物逐渐减量。对于这些脆弱的患者,一致性采用标准化非药物方法和严格的减量方案对于缩短住院时间和药物治疗时间非常重要。