肺功能缺陷和支气管扩展剂响应在12岁的孩子出生非常早产与对照出生在期限的12岁的孩子相比
Cecilia Hagman1, Lars J Björklund1, Leif Bjermer2
1Department of Clinical Sciences, Lund, Pediatrics, Lund University and Skåne University Hospital, Lund, Sweden.
Pediatric pulmonology
|August 18, 2023
概括
非常早产的儿童在学龄时表现出显著的肺功能缺陷,气道阻塞在很大程度上可以通过支气管扩展剂逆转. 与早产本身相比,支气管肺发育不良对肺功能的影响很小.
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:
- 非常早产与长期的肺功能障碍有关.
- 在学龄期非常早产婴儿的全面肺功能评估是有限的.
研究的目的:
- 为了评估与期内对照相比,在非常早产的婴儿中评估学龄期的肺功能.
- 为了研究支气管肺功能障碍 (BPD),性别和支气管扩展剂反应对肺功能的影响.
主要方法:
- 136名非常早产的儿童 (85名患有BPD,51名没有) 和56名产期对照儿童在12岁时接受了螺旋计,体,脉冲振荡计,扩散容量和多次呼吸洗.
- 在吸入支气管扩展剂之前和之后进行了测试.
主要成果:
- 非常早产的儿童表现出更多的呼吸道症状,喘,空气流量限制 (较低的FEV1,FEV1/FVC) 和较高的呼吸道阻力.
- 在非常早产的婴儿中,气和肺清除指数升高;扩散能力降低,特别是在患有BPD的婴儿中.
- 过早生育的男孩比过早生育的女孩有更大的肺功能缺陷;呼吸道阻塞在很大程度上是可逆的.
结论:
- 非常早产的孩子在12岁时,与按期出生的孩子相比,肺功能缺陷普遍存在.
- 与早产的影响相比,支气管肺形对肺功能的影响很小.
- 非常早产儿的气道阻塞在使用支气管扩展剂后显著改善.
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