Department of Biomedical Research and Center for Pediatric Lung Research, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA.
Department of Biomedical Research and Center for Pediatric Lung Research, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA.
Paediatr Respir Rev. 2019 Feb;29:60-67. doi: 10.1016/j.prrv.2018.03.010. Epub 2018 May 19.
The current noninvasive method for respiratory monitoring is respiratory inductance plethysmography (RIP); two bands are connected, one each to the chest and the abdomen, to measure the breathing pattern. RIP requires post hoc analysis to calculate indices such as respiratory rate, phase angle, labored breathing index, and percent of rib cage contribution to breathing. Clinical studies have provided patient RIP values and age-matched normal values, but they lack global evaluation of normative data for a wide age range of pediatric subjects. Herein, we compiled normative RIP indices from numerous studies for a large range of pediatric ages. From these data, we derived regression equations useful for computing normal RIP parameters as a function of age. The presented review will provide caregivers the ability to compare RIP data of pediatric patients against the regression analysis. This comparison will help identify patients with pulmonary complications and aid in guiding respiratory therapy.
目前用于呼吸监测的非侵入性方法是呼吸电抗容积描记法（RIP）；两条带子，一条连接到胸部，一条连接到腹部，以测量呼吸模式。RIP 需要事后分析来计算呼吸频率、相位角、呼吸困难指数和肋骨参与呼吸的百分比等指标。临床研究已经提供了患者的 RIP 值和年龄匹配的正常值，但缺乏对广泛儿科年龄段的正常数据的全面评估。在此，我们从大量研究中汇编了 RIP 指标的正常参考值，涵盖了广泛的儿科年龄范围。从这些数据中，我们得出了回归方程，可用于根据年龄计算正常 RIP 参数。本综述将使护理人员能够将儿科患者的 RIP 数据与回归分析进行比较。这种比较将有助于识别患有肺部并发症的患者，并有助于指导呼吸治疗。
