Cheng Keping, Zhu Huijie, Zhou Zikai, Chen Weiyuan, Yang Aijuan
Department of Neonatology, Yongkang Maternal and Child Health Hospital, Yongkang, Zhejiang.
Eur J Transl Myol. 2024 Feb 19;34(1):11863. doi: 10.4081/ejtm.2024.11863.
Neonatal respiratory distress syndrome (NRDS) is one of the major causes of pre-term mortality and morbidity among very-low-birth-weight infants (VLBWI) in low- and middle-income countries (LMIC). Some of the neonates pass away despite admission and care in intensive care units (ICUs). The present clinical trial seeks the application value of elevating oxygen saturation in the brain cells of pre-term neonates born with NRDS. Near-infrared spectroscopy (NIRS) was used to monitor the neonates' microscopic cerebral oxygenation levels do determine hemoglobin concentration in brain tissues, whereas the pulse oximetry was used to measure oxygenation levels among the patients. In statistical analyses, the Analysis of Variance (ANOVA), and descriptive statistics was deployed in the Jupyter Notebook environment using Python language. High saturation of oxygen in the brain tissues result in important biological and physiological processes, including enhanced oxygen supply to cells, reduced severity of NRDS, and balancing oxygen demand and supply. The correlations of oxygen saturation with systemic saturation of oxygen, the saturation of oxygen in brain tissues, the association between brain-specific and systemic saturation, and the impact of these outcomes on clinical practices were deliberated. Also, the pH gas values, the saturation of oxygen in neonates' brain tissues, metabolic acidosis, the effect of acid-base balance and cerebral oxygen supply, and the oxygenation of brain tissues and the pH values emerged as important variables of oxygenation of brain tissues in pre-term neonates. Oxygen saturation in brain cells influence vital physiological and biological processes. Balancing acid-base saturation or levels is needed despite the challenging achievement. Oxygenation of brain tissues improve the brain's overall functioning.
新生儿呼吸窘迫综合征(NRDS)是低收入和中等收入国家(LMIC)中极低出生体重儿(VLBWI)早产死亡率和发病率的主要原因之一。尽管在重症监护病房(ICU)接受了入院治疗和护理,但仍有一些新生儿死亡。本临床试验旨在探索提高患有NRDS的早产新生儿脑细胞中氧饱和度的应用价值。采用近红外光谱(NIRS)监测新生儿的微观脑氧合水平,以确定脑组织中的血红蛋白浓度,而脉搏血氧饱和度仪则用于测量患者的氧合水平。在统计分析中,使用Python语言在Jupyter Notebook环境中进行方差分析(ANOVA)和描述性统计。脑组织中的高氧饱和度会引发重要的生物学和生理过程,包括增加细胞的氧气供应、降低NRDS的严重程度以及平衡氧气供需。研究了氧饱和度与全身氧饱和度、脑组织中氧饱和度的相关性,脑特异性饱和度与全身饱和度之间的关联,以及这些结果对临床实践的影响。此外,pH气体值、新生儿脑组织中的氧饱和度、代谢性酸中毒、酸碱平衡和脑氧供应的影响以及脑组织的氧合作用和pH值,成为早产新生儿脑组织氧合作用的重要变量。脑细胞中的氧饱和度影响重要的生理和生物学过程。尽管实现起来具有挑战性,但仍需要平衡酸碱饱和度或水平。脑组织的氧合作用可改善大脑的整体功能。