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靶向炎症反应以预防支气管肺发育不良:新的见解能否转化为治疗方法?

Targeting inflammation to prevent bronchopulmonary dysplasia: can new insights be translated into therapies?

机构信息

Division of Neonatology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.

出版信息

Pediatrics. 2011 Jul;128(1):111-26. doi: 10.1542/peds.2010-3875. Epub 2011 Jun 6.

DOI:10.1542/peds.2010-3875
PMID:21646264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3124103/
Abstract

Bronchopulmonary dysplasia (BPD) frequently complicates preterm birth and leads to significant long-term morbidity. Unfortunately, few therapies are known to effectively prevent or treat BPD. Ongoing research has been focusing on potential therapies to limit inflammation in the preterm lung. In this review we highlight recent bench and clinical research aimed at understanding the role of inflammation in the pathogenesis of BPD. We also critically assess currently used therapies and promising developments in the field.

摘要

支气管肺发育不良(BPD)常并发于早产儿,并导致显著的长期发病率。不幸的是,目前已知的有效预防或治疗 BPD 的方法很少。正在进行的研究一直集中在潜在的治疗方法上,以限制早产儿肺部的炎症。在这篇综述中,我们重点介绍了最近旨在了解炎症在 BPD 发病机制中的作用的基础和临床研究。我们还批判性地评估了目前使用的治疗方法和该领域有希望的进展。

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本文引用的文献

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Lung recruitment maneuver during volume guarantee ventilation of preterm infants with acute respiratory distress syndrome.肺复张手法在有急性呼吸窘迫综合征的早产儿容量保证通气时的应用。
Am J Perinatol. 2011 Aug;28(7):521-8. doi: 10.1055/s-0031-1272970. Epub 2011 Mar 4.
2
Prediction of bronchopulmonary dysplasia.支气管肺发育不良的预测。
Arch Dis Child Fetal Neonatal Ed. 2011 Nov;96(6):F410-6. doi: 10.1136/adc.2010.189597. Epub 2011 Feb 28.
3
Postnatal steroids: the way forward.产后类固醇:前进的道路。
Arch Dis Child Fetal Neonatal Ed. 2011 May;96(3):F158-9. doi: 10.1136/adc.2010.205427. Epub 2011 Feb 2.
4
NIH Consensus Development Conference statement: inhaled nitric-oxide therapy for premature infants.美国国立卫生研究院共识发展会议声明:吸入一氧化氮治疗早产儿。
Pediatrics. 2011 Feb;127(2):363-9. doi: 10.1542/peds.2010-3507. Epub 2011 Jan 10.
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Blood protein concentrations in the first two postnatal weeks that predict bronchopulmonary dysplasia among infants born before the 28th week of gestation.预测 28 周前出生的婴儿发生支气管肺发育不良的前两周血蛋白浓度。
Pediatr Res. 2011 Apr;69(4):347-53. doi: 10.1203/PDR.0b013e31820a58f3.
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In search of the optimal oxygen saturation for extremely low birth weight infants: a systematic review and meta-analysis.探寻极低出生体重儿的最佳血氧饱和度:系统评价和荟萃分析。
Neonatology. 2011;100(1):1-8. doi: 10.1159/000322001. Epub 2010 Dec 9.
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Minidex: very low dose dexamethasone (0.05 mg/kg/day) in chronic lung disease.米诺地尔:慢性肺病患者给予极低剂量地塞米松(0.05 毫克/千克/天)。
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Chorioamnionitis, lung function and bronchopulmonary dysplasia in prematurely born infants.绒毛膜羊膜炎、肺功能与早产儿支气管肺发育不良。
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