Jirapaet K
Department of Pediatrics, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1993 Jun;76(6):319-26.
Placing preterm infants suffering idiopathic apnea of prematurity on the VPS had an effect on the infants' respiratory effort and achieved a reduction in the number of apneic episodes secondary to central and mixed apnea. However, VPS offered no benefits in the reduction of obstructive apnea in this study population. Because central apnea has been reported as the predominant type of apnea and VPS is a nontoxic, noninvasive, and easy-to-implement method of alleviating central and mixed apnea types, it seems prudent to give VPS which has the stimulus characteristics to preterm infants experiencing apnea of prematurity before other treatment modalities currently in use are tried. Further studies are warranted to determine if VPS is effective in a continuous long-term treatment for apnea of prematurity, for example, until the end of apnea.
将患有特发性早产儿呼吸暂停的早产儿置于VPS上,对婴儿的呼吸努力有影响,并减少了中枢性和混合性呼吸暂停继发的呼吸暂停发作次数。然而,在该研究人群中,VPS在减少阻塞性呼吸暂停方面没有益处。由于中枢性呼吸暂停已被报道为主要的呼吸暂停类型,且VPS是一种无毒、无创且易于实施的缓解中枢性和混合性呼吸暂停类型的方法,因此在尝试目前使用的其他治疗方式之前,给患有早产儿呼吸暂停的早产儿使用具有刺激特性的VPS似乎是谨慎的做法。有必要进行进一步研究,以确定VPS在早产儿呼吸暂停的持续长期治疗中是否有效,例如,直到呼吸暂停结束。