在早产婴儿<30周怀孕期间,在出生后的过渡期间,声带主要是关闭的;一项观察性研究
Veerle Heesters1, Janneke Dekker1, Timothy Jr Panneflek1
1Willem-Alexander Children's Hospital, Department of Pediatrics, Division of Neonatology, Leiden University Medical Center, the Netherlands.
Resuscitation
|November 18, 2023
概括
超声波可以可视化早产婴儿的声带. 在呼吸暂停和呼吸之间声带关闭会损害新生儿的非侵入性通风效率.
科学领域:
- 新生儿医学 新生儿医学
- 儿科呼吸系统医学 儿科呼吸系统医学
- 医疗成像医学成像
背景情况:
- 动物研究表明,呼吸暂停期间声带的关闭阻碍了非侵入性通风.
- 了解早产婴儿的声带行为对于优化呼吸支至关重要.
研究的目的:
- 评估使用超声波 (US) 来可视化早产婴儿声带 (VC) 的可行性.
- 为了研究在出生时的非侵入性呼吸辅助过程中VCs的位置和运动.
主要方法:
- 一项涉及婴儿<30周妊娠期的观察性研究.
- 超声波用于在稳定期间和出生后一个小时内可视化VC.
- 呼吸努力和流动模式同时记录.
主要成果:
- 在所有20名婴儿中,对VC的超声波检测是可行的,而不会干扰稳定.
- 在呼吸的婴儿中,VCs在57%的时间内被关闭;在接受通风的呼吸暂停婴儿中,VCs在93%的时间内被关闭.
- 在出生后一小时,VC被关闭了46%的时间在评估的婴儿.
结论:
- 超声波是一种可行的方法,可用于在出生时对早产婴儿的声带进行可视化.
- 在呼吸暂停期间,呼吸之间以及呼吸期间的声带关闭显著损害了非侵入性通风的有效性.
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