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支气管肺部发育不良症
John P Kinsella1, Anne Greenough, Steven H Abman
1Department of Paediatrics, University of Colorado School of Medicine, Denver, USA. John.kinsella@uchsc.edu
Lancet (London, England)
|May 3, 2006
概括
支气管肺功能障碍症 (BPD) 是一种慢性肺部疾病,影响早产婴儿,增加住院再接收和长期呼吸道问题. 研究正在探索新的治疗方法,以减少肺损伤,并改善患病婴儿的肺生长.
科学领域:
- 新生儿科学 新生儿科学
- 儿科肺病学 儿科肺病学
- 慢性肺部疾病 慢性肺部疾病
背景情况:
- 支气管肺功能障碍症 (BPD) 是早产婴儿患病和死亡的一个重要原因.
- 极度早产婴儿的生存率增加导致BPD病例的增加.
- 由于频繁的住院再诊和持续的呼吸道症状到青春期,BPD对医疗保健资源造成了巨大的负担.
研究的目的:
- 为了解决BPD的不断变化的理解,包括"新的BPD",其特点是长期依赖氧气而没有严重的急性呼吸困扰.
- 调查产后肺生长障碍作为"新型BPD"的原因的可能性.
- 探索这些婴儿的追赶肺生长的未知因素,特别是关于产后皮质类固醇的使用.
主要方法:
- 对BPD病原和临床结果的当前文献的综述.
- 分析BPD定义和临床表现的变化.
- 识别有关肺生长和治疗干预措施的知识差距.
主要成果:
- BPD的定义已经演变,在没有严重急性呼吸困扰的婴儿中出现了"新的BPD",可能与肺生长受损有关.
- 患有BPD的婴儿经历了显著的长期呼吸系统问题,需要经常使用医疗保健.
- 产后皮质类固醇对BPD追赶肺生长的疗效目前尚不清楚.
结论:
- 支气管肺功能障碍在新生儿护理中是一个持续的挑战,其患病率越来越高.
- 需要进一步的研究,以了解"新型BPD"中肺生长受损的机制.
- 开发安全有效的预防疗法和改善肺生长的治疗方法是未来研究的关键领域.
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