《2022年欧洲呼吸窘迫综合征管理指南》更新要点解读  

Interpretation of the update points of European Consensus Guidelines on the Management of Respiratory Distress Syndrome-2022 Update

作　　者：马娟 史源[2] 陈龙[2] 黄红 唐仕芳 MA Juan;SHI Yuan;CEHN Long;HUANG Hong;TANG Shifang(Department of Pediatrics and Neonatology,Songshan General Hospital,Chongqing 401121,China;Neonatal Treatment Center,Children’s Hospital of Chongqing Medical University/Ministry of Education Key Laboratory of Child Development and Disorders/National Clinical Research Center for Child Health and Disorders/China International Science and Technology Cooperation Base of Child Development and Critical Disorders/Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China)

机构地区：[1]重庆松山医院儿科/新生儿科,重庆401121 [2]重庆医科大学附属儿童医院新生儿诊疗中心/儿童发育疾病研究教育部重点实验室/国家儿童健康与疾病临床医学研究中心/儿童发育重大疾病国家国际科技合作基地/儿科学重庆市重点实验室,重庆400014

出　　处：《重庆医学》2023年第19期2881-2886,共6页Chongqing medicine

摘　　要：在《2019年欧洲呼吸窘迫综合征管理指南》基础上,《2022年欧洲呼吸窘迫综合征管理指南》(2022版指南)依据最新循证医学证据和医学文献,进行了补充和更新,探讨呼吸窘迫综合征(RDS)管理中存在的分歧,使RDS管理策略不断优化,寻找最佳实践的证据。该文旨在介绍2022版指南更新要点,以帮助中国新生儿科医生了解最新RDS指南内容,包括产前护理、产房内稳定、肺表面活性物质治疗、复苏稳定后氧疗、无创呼吸支持、机械通气策略,以及药物使用(包括抗生素、枸橼酸咖啡因及激素)、疼痛和镇静管理、监测和支持护理及体温维持、血压维持和组织灌注管理。通过学习2022版指南,进一步优化临床对RDS患儿的管理策略。Based on the European Consensus Guidelines on the management of Respiratory Distress Syndrome-2019 Update,the European Consensus Guidelines on the management of Respiratory Distress Syndrome-2022 Update(the 2022 edition of the Guidelines)was supplemented and updated based on the latest evidence-based medical evidence and medical literature to explore differences in the management of respiratory distress syndrome(RDS),optimize the management strategy for RDS,and seek evidence for best practice.The purpose of this article is to introduce the key points of the 2022 guideline update to help neonatologists in China understand the newest RDS guidelines,including prenatal care,stabilization of the delivery room and the use of pulmonary surfactants,adjustment of oxygen therapy after stabilization,non-invasive respiratory support,and mechanical ventilation strategies,as well as medication use(including antibiotics,caffeine citrate,and hormones),pain and sedation management,monitoring and supportive care,and temperature maintenance,as well as maintenance of blood pressure and tissue perfusion management.By learning the updated guidelines for 2022,clinical management strategies for children with RDS can be optimized.

关 键 词：呼吸窘迫综合征 新生儿 临床管理 指南 更新 

分 类 号：R722.1[医药卫生—儿科]