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在新生儿中进行鼻间歇性正压通风,该新生儿患有3级支气管肺功能障碍症
Mark F Weems1,2, Vineet Lamba3, Sandeep Chilakala4,5
1Department of Pediatrics, Division of Neonatology, University of Tennessee Health Science Center, Memphis, TN, USA. mweems@uthsc.edu.
概括
鼻间歇性正压通风 (NIPPV) 可以支持严重支气管肺功能障碍 (BPD) 患者. 一个新的NIPPV策略减少了不需要气管切除术的婴儿住院时间.
科学领域:
- 新生儿医学 新生儿医学
- 儿科肺病学 儿科肺病学
- 呼吸系统护理 呼吸系统护理
背景情况:
- 支气管肺张力症 (BPD) 是早产婴儿的慢性肺部疾病.
- 严重的BPD (3级) 通常需要先进的呼吸辅助.
- 气管切除术是BPD持续性呼吸衰竭的常见干预措施.
研究的目的:
- 描述一种新的鼻间歇性正压通风 (NIPPV) 策略,用于3级BPD.
- 评估使用这种NIPPV方法管理的患者的临床结果.
- 为了比较带有和没有气管切除术出院的患者之间的结果.
主要方法:
- 在接受NIPPV治疗的3级BPD患者进行了回顾性研究.
- 根据出院状态将患者分组为:没有气管切除术和有气管切除术.
- 评估了临床数据,包括妊娠年龄,出生体重和呼吸系统严重程度.
主要成果:
- 28名患者没有进行气管切除术,17名患者进行了气管切除术.
- 两组之间没有观察到妊娠年龄,出生体重或呼吸系统严重性得分的显著差异.
- 气管切除术患者的 subglottic 狭窄率更高,住院时间更长.
结论:
- 鼻间歇性正压通风 (NIPPV) 是选择3级BPD患者的可行支持策略.
- 通过NIPPV避免气管切除术与住院时间缩短有关.
- 这种方法可以为管理严重的BPD提供好处,可能减少并发症和医疗资源利用.
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