Aherrao Samruddhi, Sharath H V
Department of Cardiorespiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research (DU), Wardha, IND.
Department of Paediatric Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research (DU), Wardha, IND.
Cureus. 2024 Sep 5;16(9):e68702. doi: 10.7759/cureus.68702. eCollection 2024 Sep.
Neonatal respiratory distress syndrome (NRDS) is a major cause of morbidity and death in premature newborns due to inadequate surfactant synthesis in the lungs. Preterm birth carries a higher risk of respiratory problems. Clinically cyanosis, grunting, retractions, and tachypnea are signs of early respiratory distress associated with RDS Should therapeutic measures not be implemented, the infant may suffer respiratory failure and increasing hypoxia. This case study investigates how physical therapy affects a preterm newborn with NRDS regarding thoracic squeeze, percussion, and vibration with expiratory flow increase technique The patient's prenatal, natal, and postnatal history is included in depth in the report, along with information on the mother's health, pregnancy difficulties, birth details, first clinical presentation, and care that followed. Despite advancements in treatment through the use of surfactants, prenatal corticosteroids, and advanced respiratory care for the newborn, RDS continues to be the leading cause of morbidity and mortality in premature newborns. The significance of interdisciplinary methods in improving the care and prognosis of newborns with NRDS is shown by this instance.
新生儿呼吸窘迫综合征（NRDS）是早产新生儿发病和死亡的主要原因，原因是肺部表面活性物质合成不足。早产会带来更高的呼吸问题风险。临床上，发绀、呻吟、呼吸凹陷和呼吸急促是与RDS相关的早期呼吸窘迫的体征。如果不采取治疗措施，婴儿可能会出现呼吸衰竭并加重缺氧。本案例研究调查了物理治疗如何通过胸廓挤压、叩击、振动以及呼气流量增加技术来影响患有NRDS的早产新生儿。报告中深入包含了患者的产前、产时和产后病史，以及母亲的健康状况、妊娠困难、分娩细节、首次临床表现和后续护理等信息。尽管通过使用表面活性物质、产前皮质类固醇以及对新生儿的先进呼吸护理在治疗方面取得了进展，但RDS仍然是早产新生儿发病和死亡的主要原因。这个案例表明了跨学科方法在改善患有NRDS的新生儿护理和预后方面的重要性。
