The Comparison Between Intravenous Acetaminophen Versus Oral Ibuprofen in Preterm Newborns With Patent Ductus Arteriosus: A Clinical Trial

Acta Medica Iranica

Behzad Mohammadpour Ahranjani¹  Mohammadrafie Khorgami²  Zeinab Harif Nashtifani³  Hosein Dalili³  Mamak Shariat⁴ 

[1] Department of Pediatric Cardiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.;Department of Pediatric Cardiology, Rajaie Heart Center, Iran University of Medical Sciences, Tehran, Iran.;Department of Pediatrics, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.;Maternal, Fetal & Neonatal Research Center, Tehran University of Medical Sciences, Tehran, Iran.;

关键词: Patent Ductus Arteriosus;    Acetaminophen;    Preterm infants;   

DOI  :  10.18502/acta.v58i12.5155

来源: DOAJ

【 摘 要 】

Oral ibuprofen has been known as a conventional treatment for closing patent ductus arteriosus (PDA) in preterm newborns. Since the use of it might lead to various side effects, other treatments needed to be evaluated. Therefore in a prospective study, we compared the efficacy and safety of intravenous acetaminophen versus oral ibuprofen for the closure of PDA. In this study which was done prospectively and under control, 50 preterm neonates with gestational ages and weights less than 37 weeks old and 2500 grams, respectively, who had PDA, large enough hemodynamically, were included in the study. The patients were divided into two groups: A (intravenous acetaminophen) & B (oral ibuprofen). The two groups were given at most two 3-day courses of the medication (the second course if necessary) and evaluated at the end of each course by echocardiography so as to determine the response to the treatment at each step. The rate of ductal closure, the need for additional treatment, side effects, complications and the newborn’s clinical status were recorded. The rate of ductal closure in the both groups after one course of treatment was similar and showed no meaningful significance statistically (P=0.306). But that of the side effects was much higher in group B with a P=0.021. Intravenous Acetaminophen is not only as efficacious as oral Ibuprofen for the treatment of PDA in preterm infants, but also is less likely to lead to side effects and complications.

【 授权许可】

Unknown