肺部超声波支持临床评估早产新生儿养能力的发展
Tiziana Controzzi1, Francesca Chesi1, Rosa Teresa Scaramuzzo1
1U.O. Neonatologia, Dipartimento Materno-Infantile, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Frontiers in pediatrics
|October 6, 2023
概括
肺部超声波 (LUS) 在评估早产婴儿的养能力方面表现有前途. 7天后的LUS得分可以预测呼吸支需求,表明新生儿在养期间的稳定性.
科学领域:
- 新生儿科学 新生儿科学
- 儿科胃肠病学 儿科胃肠病学
- 医疗成像医学成像
背景情况:
- 过早出生的新生儿经常面临食困难和吞障碍.
- 像FEES和VFSS这样的传统诊断方法具有侵入性和局限性.
- 肺部超声波 (LUS) 为吸入检测提供了一个安全的,可重复的,治疗点的替代方案.
研究的目的:
- 调查肺部超声波 (LUS) 的有用性,以评估早产新生儿的养能力发展.
- 评估LUS发现与养里程碑之间的相关性.
- 为了确定LUS得分是否可以预测呼吸辅助需求.
主要方法:
- 一项试点研究涉及19名妊娠32周以下的新生儿.
- 在餐前和餐后进行LUS成像,以监测食.
- 相关性分析用于评估LUS得分,妊娠年龄和养结果之间的关系.
主要成果:
- 餐前和餐后的LUS得分没有显示出明显的差异.
- 实现全肠道养与妊娠年龄相关,但不是LUS得分.
- 生命第7天的LUS得分预测了呼吸支和氧气供应的持续时间.
结论:
- 早产婴儿口服养技能的发展不仅仅取决于妊娠年龄.
- 路斯分数可以作为一个有价值的标记,用于预测口服养的准备.
- LUS可以表明呼吸道和肺部的健康状况,预测新生儿在与食有关的呼吸暂停期间的稳定性.
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