Carlo De Pieri, Brigitte Fauroux, Sonia Khirani, Briac Thierry, Christophe Delacourt, Paola Cogo, Alessandro Amaddeo
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引用次数: 0
Abstract
Background: Periodic assessment of the need for oxygen supplementation and/or mechanical ventilation in children with severe bronchopulmonary dysplasia (BPD) is crucial. The aim of the study was to analyze the indications and results of respiratory polygraphies (RP) performed in preterm infants with BPD followed at a tertiary university hospital.
Methods: All subjects <5-year-old with BPD who had a RP between September and February 2018 were included. The indications and results of RP and consequent medical management were analyzed.
Results: Fourteen infants (9 females, mean gestational age 27.6±3.3 weeks) underwent a RP at mean age of 26.4±19.4 months. Five subjects were evaluated for the need of long-term respiratory support (RS), 3 started continuous positive airway pressure (CPAP), 2 were weaned from RS. Four subjects underwent RP for suspected obstructive sleep apnea (OSA), one started on CPAP. Central apnea syndrome (CSA) was confirmed in 2 subjects and one was started on non-invasive ventilation. RP allowed safe tracheostomy decannulation in 2 subjects. Finally, RP was normal in one subject who had a brief resolved unexplained event.
Conclusions: RP represents an important tool for the evaluation of children with BPD and leads to important therapeutic decisions.
背景：定期评估严重支气管肺发育不良（BPD）患儿是否需要补充氧气和/或机械通气至关重要。本研究旨在分析一家三级大学医院对患有支气管肺发育不良的早产儿进行呼吸测谎（RP）的适应症和结果：纳入2018年9月至2月期间进行过RP的所有小于5岁的BPD受试者。分析了RP的适应症、结果以及随后的医疗管理：14名婴儿（9名女性，平均胎龄（27.6±3.3）周）在平均年龄（26.4±19.4）个月时接受了RP。5 名受试者接受了是否需要长期呼吸支持（RS）的评估，3 名开始使用持续气道正压（CPAP），2 名脱离了 RS。4 名受试者因疑似阻塞性睡眠呼吸暂停（OSA）接受了 RP 治疗，1 名开始使用 CPAP。两名受试者被证实患有中枢性呼吸暂停综合征（CSA），其中一人开始使用无创通气。2 名受试者通过 RP 安全解除了气管造口术。最后，一名发生短暂不明原因事件（BRUE）的患者的 RP 正常：RP是评估BPD患儿的重要工具，可帮助做出重要的治疗决定。
期刊介绍：
Minerva Pediatrica publishes scientific papers on pediatrics, neonatology, adolescent medicine, child and adolescent psychiatry and pediatric surgery. Manuscripts may be submitted in the form of editorials, original articles, review articles, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work.
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