Division of Neonatology, Department of Pediatrics, Rainbow Babies & Children's Hospital, Case Western Reserve University, Cleveland, OH, United States.
Division of Neonatology, Department of Pediatrics, Rainbow Babies & Children's Hospital, Case Western Reserve University, Cleveland, OH, United States.
Handb Clin Neurol. 2022;189:43-52. doi: 10.1016/B978-0-323-91532-8.00010-0.
Apnea is a frequent occurrence in prematurity and its prevalence in the most severely preterm population is indicative of an immature respiratory neural control system. Preterm infants are also at increased risk of Sudden Infant Death Syndrome (SIDS), which has been associated with similar respiratory neural control dysfunction seen in prematurity. Generally, abnormalities in both central and peripheral mechanisms of respiratory control are thought to be key underlying features of abnormal respiratory system development. Numerous factors contribute to the etiology of apnea and respiratory control dysfunction including the environment (e.g., substance use/misuse), sex, genetics, a vulnerable neonate, and various underlying comorbidities. However, there are major gaps in our understanding of both normal and abnormal respiratory control system development, which highlights the need for continued research using novel and innovative methods.
呼吸暂停在早产儿中很常见,在早产儿中最严重的人群中,呼吸暂停的发生率表明呼吸神经控制系统不成熟。早产儿患婴儿猝死综合征(SIDS)的风险也增加,SIDS 与早产儿中所见的类似呼吸神经控制功能障碍有关。一般来说,呼吸控制的中枢和外周机制的异常被认为是呼吸系统发育异常的关键潜在特征。许多因素导致呼吸暂停和呼吸控制功能障碍的病因,包括环境(例如,物质使用/滥用)、性别、遗传、脆弱的新生儿以及各种潜在的合并症。然而,我们对正常和异常呼吸控制系统发育的理解还存在很大差距,这凸显了需要使用新的创新方法继续进行研究。