早产儿不同年龄阶段肺功能检测研究进展
Advances of lung function test at different ages in premature infants
姜林梦 1王宇 1王淮燕1
作者信息
- 1. 南京医科大学常州医学中心 常州市妇幼保健院新生儿科 213000
- 折叠
摘要
早产儿由于肺发育不良,在新生儿期表现为肺容积、肺顺应性降低等限制性通气功能障碍,同时伴有气道阻力增加等阻塞性通气功能障碍.婴幼儿期至学龄期肺容积及肺顺应性有所改善,但仍存在不同程度的气道阻塞,尤其是低胎龄早产儿,甚至可持续至成年期,演变为慢性肺部疾病.各年龄阶段的早产儿肺功能检测技术不同,学龄期及青春期儿童可参考成人检测方法,学龄前期儿童及婴幼儿,尤其是新生儿,由于年龄小无法完全配合及病理生理特点等因素的影响,目前检测技术尚未普及,仍处于研究阶段.该文对早产儿不同年龄阶段的肺功能特点及检测方法进行综述.
Abstract
Premature infants are frequently prone to adverse pulmonary outcomes due to inadequate lung development.During the neonatal period,It is manifested as restrictive ventilatory impairments characterized by reduced lung volume and compliance,as well as obstructive ventilatory impairments marked by increased airway resistance.Although there is some improvement in lung volume and compliance from infancy to school age,varying degrees of persistent airway obstruction still exist,particularly in extremely preterm infants,which may persist into adulthood and lead to chronic pulmonary diseases.The techniques utilized for lung function test in premature infants differ in different age groups.School-age and adolescent children can employ the same test methods as adults.However,for preschool-aged children and particularly newborns,due to their tender age,limited capacity for complete cooperation and distinctive physiological characteristics,the current test techniques have not yet been widely implemented which are still in research.This article presents a comprehensive review of lung function characteristics and assessment methods at various stages of premature infants.
关键词
早产儿/肺功能检测/肺功能特点/随访Key words
Premature infant/Pulmonary function test/Characteristics of pulmonary function/Follow-up引用本文复制引用
基金项目
常州市科技项目(CJ20210148)
南京医科大学常州医学中心科研项目(CMCC202321)
出版年
2024
NETL
NSTL
万方数据