长期家庭机械通风儿童在伊斯坦布尔
Mürüvvet Yanaz1, Füsun Ünal2, Evrim Hepkaya3
1Department of Pediatric Pulmonology, Marmara University Faculty of Medicine, İstanbul, Türkiye.
Thoracic research and practice
|February 11, 2025
概括
一半长期接受家庭机械通风 (HMV) 的儿童接受了侵入性支持,持续通风,氧气和住院的风险更高. 这项研究描述了伊斯坦布尔的HMV使用情况.
科学领域:
- 儿科肺病学 儿科肺病学
- 呼吸系统医学 呼吸系统医学
- 关键的护理关键的护理
背景情况:
- 家庭机械通风 (HMV) 对患有慢性呼吸衰竭的儿童至关重要.
- 了解患者的特征和通风方式对于优化护理至关重要.
研究的目的:
- 描述在伊斯坦布尔长期接受HMV的儿童的特征.
- 为了在这个儿科群体中比较非侵入性通风 (NIV) 和侵入性通风 (IV).
主要方法:
- 在416名长期接受HMV.儿童的跨截面多中心研究中.
- 从2020年5月至2021年5月期间从患者病历中收集的数据.
- 分析了人口统计和HMV数据.
主要成果:
- 最常见的诊断:神经肌肉 (35.1%) 和神经 (25.7%).
- 49.5%接受了NIV,50.5%接受了IV. 输液患者在开始时更年轻,更可能需要持续支持和氧气.
- 59.1%的人在过去一年被住院治疗;风险因素包括输液,持续支持,氧气,输液养和吞功能障碍.
结论:
- 尽管NIV使用越来越多,但儿童HMV患者中的一半接受了侵入性通风.
- 侵入性通风与更需要持续支持,补充氧气和增加住院风险有关.
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