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发育中的肺部氧气和机械拉伸:新生儿和儿科肺部疾病的风险因素
Emily Y Zhang1, Colleen M Bartman1, Y S Prakash1,2
1Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, United States.
Frontiers in medicine
|July 5, 2023
概括
接受氧气或机械通风等呼吸支持的早产婴儿可能面临慢性儿科气道疾病的风险增加. 最小化氧气可以矛盾地增加呼吸道疾病的风险,保证进一步研究治疗点.
科学领域:
- 儿科肺病学 儿科肺病学
- 新生儿科学 新生儿科学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 慢性呼吸道疾病,包括喘,显著影响儿童的发病率和死亡率.
- 过早出生的婴儿特别容易受到不成熟的肺部和围产期侮辱的影响.
- 呼吸辅助 (氧气,通风,CPAP) 是一个常见的围产期因素,与呼吸道疾病的发展有关.
研究的目的:
- 审查围产期氧气和机械呼吸辅助对慢性儿科肺部疾病的影响,重点关注呼吸道疾病.
- 探索慢性儿科呼吸道疾病发展的潜在机制.
- 在儿科患者群体中确定新型干预措施的潜在治疗点.
主要方法:
- 文献综述和当前知识的综合.
- 对补充氧气和机械通风/CPAP的作用的分析.
- 检查呼吸道结构和功能上的变化.
主要成果:
- 有证据表明,尽量减少氧气暴露可能会增加慢性呼吸道疾病的风险,而不仅仅是气泡膜疾病.
- 机械通风和CPAP (伸展暴露) 都与慢性呼吸道疾病的发展有关.
- 慢性儿科气道疾病和成人喘之间存在相似之处,包括气道改造和高反应性.
结论:
- 围产期呼吸支策略需要仔细考虑,以平衡支气管肺功能障碍和慢性呼吸道疾病的风险.
- 了解氧气和伸展损伤的机制对于开发向疗法至关重要.
- 需要进一步的研究,以优化呼吸支和预防早产婴儿的长期呼吸道并发症.
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