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支气管肺发育不良(BPD)婴儿出生后36个月内的呼吸道发病率及肺功能分析

Respiratory Morbidity and Lung Function Analysis During the First 36 Months of Life in Infants With Bronchopulmonary Dysplasia (BPD).

作者信息

Chen Dandan, Chen Jing, Cui Ningxun, Cui Mingling, Chen Xiaoqian, Zhu Xueping, Zhu Xiaoli

机构信息

Department of Neonatology, Children's Hospital of Soochow University, Suzhou, China.

Department of Intervention, The First Affiliated Hospital of Soochow University, Suzhou, China.

出版信息

Front Pediatr. 2020 Jan 10;7:540. doi: 10.3389/fped.2019.00540. eCollection 2019.

Abstract

To explore the lung function of bronchopulmonary dysplasia (BPD) in premature infants to guide clinical prevention, early diagnosis and treatment. Thirty infants with BPD at 4-36 months of corrected gestational age were enrolled and divided into mild BPD and moderate and severe BPD groups. Thirty full-term healthy infants, and 30 non-BPD infants at 4-36 months of corrected gestational age were included as controls. Clinical information, including respiratory infections and re-hospitalization, was compared among these groups. Furthermore, lung function analysis was performed in the infants. The upper respiratory tract infection rate and re-hospitalization rate were significantly higher in the infants with BPD than in the non-BPD infants. The tidal volume/kg, proportion of time to reach peak tidal expiratory flow/total expiratory time, tidal volume exhaled at peak tidal expiratory flow/total tidal volume in BPD group were significantly lower in the BPD group than those in non-BPD group. These values gradually decreased as the severity of BPD increased. The respiratory rate (RR) in BPD group was significantly higher than that in non-BPD group. As the severity of the BPD increased, slope of the descending branch of expiration of tidal breathing flow capacity ring (TBFVL) increased. There is a correlation between the severity of BPD and a poor prognosis of respiratory system. TBFVL can directly reflect the characteristics of Tidal Pulmonary Function in children with different degrees of BPD.

摘要

探讨早产儿支气管肺发育不良(BPD)的肺功能,以指导临床预防、早期诊断和治疗。纳入30例矫正胎龄4 - 36个月的BPD患儿,分为轻度BPD组和中重度BPD组。选取30例足月健康婴儿以及30例矫正胎龄4 - 36个月的非BPD婴儿作为对照。比较这些组之间的临床信息,包括呼吸道感染和再次住院情况。此外,对婴儿进行肺功能分析。BPD患儿的上呼吸道感染率和再次住院率显著高于非BPD患儿。BPD组每千克潮气量、达到呼气潮流量峰值时间占总呼气时间的比例、呼气潮流量峰值时呼出的潮气量占总潮气量的比例均显著低于非BPD组。这些值随着BPD严重程度的增加而逐渐降低。BPD组的呼吸频率(RR)显著高于非BPD组。随着BPD严重程度的增加,潮气呼吸流速容量环(TBFVL)呼气下降支斜率增加。BPD的严重程度与呼吸系统预后不良之间存在相关性。TBFVL可直接反映不同程度BPD患儿的潮气肺功能特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6555/6967415/9dbf14d9113b/fped-07-00540-g0001.jpg

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