非侵入性高频振荡式通风与非侵入性正压通风在早产新生儿出后:一个随机对照试验
W O Ahmed1, I S H AbuSaif1, S A Salaheldin1
1Department of Pediatrics, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Journal of neonatal-perinatal medicine
|September 18, 2023
概括
非侵入性高频振荡通风 (NHFOV) 和非侵入性正压通风 (NIPPV) 在早产婴儿中显示出类似的输出成功率. NHFOV表明氧气需求较低,肺超声波得分 (LUS) 预测了输出输出结果.
科学领域:
- 新生儿医学 新生儿医学
- 呼吸系统生理学 呼吸系统生理学
- 儿科重症监护中心儿童重症监护中心
背景情况:
- 在新生儿中机械通风断奶是复杂的.
- 非侵入性方法对于防止再输卵至关重要.
- 在输出管后优化呼吸支是患有呼吸困扰综合征 (RDS) 的早产婴儿的关键.
研究的目的:
- 为了比较非侵入性高频振荡通风 (NHFOV) 与非侵入性正压通风 (NIPPV) 的疗效和安全性,在早产新生儿的输出术后.
- 评估肺部超声波的发现和肺部超声波得分 (LUS) 的预测值,以评估输出管的结果.
主要方法:
- 随机对照试验涉及60名患有RDS的早产新生儿.
- 患者接受了NIPPV或NHFOV的输出.
- 输出失败率,氧气需求,支时间,入院时间,安全性和死亡率的比较.
- 肺部超声波得分 (LUS) 评估了输出管前和后的情况.
主要成果:
- 在NHFOV (23.3%) 和NIPPV (30.0%) 组之间的再通风率没有显著差异.
- 与NIPPV (38±0.55) 相比,NHFOV组的氧气需求明显较低 (平均FiO2 31.8±6.09).
- 肺部超声波得分 (LUS) 与输出管的结果有显著的相关性.
结论:
- 非侵入性高频振荡式通风 (NHFOV) 是一个可行的非侵入性支持选项,用于早产婴儿在输出管后.
- 肺部超声波得分 (LUS) 作为新生儿输管成功的可靠预测指标.
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