新生儿呼吸窘迫综合征呼吸支持治疗的研究进展  

Research Progress of Respiratory Support Therapy for Neonatal Respiratory Distress Syndrome

作　　者：张丽娜 罗庆花 曹希 马静 ZHANG Lina;LUO Qinghua;CAO Xi;MA Jing(Department of Neonatology,the First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,China)

机构地区：[1]河北北方学院附属第一医院新生儿科,河北张家口075000

出　　处：《医学综述》2023年第18期3679-3683,共5页Medical Recapitulate

基　　金：张家口市科技计划自筹经费项目(2021085D)。

摘　　要：新生儿呼吸窘迫综合征(NRDS)的病理过程复杂,患病率和病死率均较高。临床主要根据NRDS患儿个体差异及实际情况进行个性化治疗。呼吸支持治疗是目前维持NRDS患儿肺通气量及呼吸道通畅、改善其通气的有效方法,常用方法包括机械通气、经鼻导管氧疗、体外膜肺氧合治疗、支气管肺泡灌洗治疗等,明确上述呼吸支持治疗的应用原理对最大限度地提高NRDS患儿呼吸支持治疗效果有重要意义。因此,呼吸支持治疗有望成为临床治疗NRDS的最佳方式。The pathological process of neonatal respiratory distress syndrome(NRDS)is complicated,and the morbidity and mortality are high.Clinically,individualized treatment is mainly carried out according to the individual differences and actual situation of children with NRDS.Respiratory support therapy is currently an effective method to maintain pulmonary ventilation and airway patency and improve ventilation in children with NRDS.Common methods include mechanical ventilation,transnasal ducted oxygen therapy,extracorporeal membrane oxygenation therapy,bronchoalveolar lavage therapy,etc.Clarifying the application principle of the above respiratory support therapies is of great significance to maximizing their therapeutic effect in children with NRDS.Therefore,respiratory support therapy is expected to become the optimal clinical treatment for NRDS.

关 键 词：新生儿呼吸窘迫综合征 呼吸支持治疗 机械通气 经鼻导管氧疗 体外膜肺氧合 支气管肺泡灌洗 

分 类 号：R659[医药卫生—外科学]