气管缩会减少气溶液药物输送到肺部
Chamindu C Gunatilaka1,2, Christopher McKenzie3, Erik B Hysinger2,4
1Center for Pulmonary Imaging Research, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Journal of aerosol medicine and pulmonary drug delivery
|December 8, 2023
概括
带有动态气管缩 (气管缩) 的新生儿在肺部接受的气溶液药物较少. 较大的颗粒沉积在呼吸道中,这表明较小的颗粒可能会改善这些婴儿的药物输送.
科学领域:
- 儿科肺病学 儿科肺病学
- 医疗成像医学成像
- 计算流体动力学的流体动力学.
背景情况:
- 患有呼吸道问题的新生儿经常接受气溶液药物.
- 动态气管缩 (气管缩) 是新生儿常见的并发症.
- 气管瘤对气溶药物输送的影响尚不清楚.
研究的目的:
- 量化新生儿气管炎对气溶剂药物输送的影响.
- 为了比较新生儿的药物输送效率,有和没有气管.
主要方法:
- 招募了14名婴儿 (7名有TM,7名没有TM).
- 获得的呼吸门3D超短回声时间MRI用于气道和肺部成像.
- 使用基于患者特定的MRI数据的计算流体动力学模拟来建模空气流和粒子传输.
主要成果:
- 在患有TM的婴儿中,较少的气溶液药物到达了远距离的气道 (33%对47%的粒子质量通过主要支气管,p=0.013).
- 在患有TM的婴儿中,呼吸道表面的颗粒沉积较高 (48%对25%,p=0.003).
- 较大的颗粒 (>2μm) 在TM受试者中显示出明显更大的沉积 (p≤0.025).
结论:
- 新生儿患有气管瘤的患者接受到肺部的气溶液药物较少.
- 目前的治疗可能对患有肺部疾病和TM的婴儿不够.
- 较小的气溶颗粒可以通过减少气道沉积来改善TM新生儿的药物输送.
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