支气管肺发育不良:当前药物疗法和新方法的最新进展。

IF 1.7 Q2 PEDIATRICS Clinical Medicine Insights-Pediatrics Pub Date : 2018-12-11 eCollection Date: 2018-01-01 DOI:10.1177/1179556518817322
Zoe Michael, Fotios Spyropoulos, Sailaja Ghanta, Helen Christou
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引用次数: 0

摘要

支气管肺发育不良(BPD)仍然是极早产儿存活后最常见的长期发病率,并与婴儿期及以后大量使用医疗服务有关。新生儿护理领域的最新进展提高了极低出生体重儿(ELBW)的存活率;然而,在这一脆弱人群中,新型干预措施并未对 BPD 的发病率产生实质性影响。BPD 的病因是多方面的,因此需要多管齐下的预防和治疗方法。目前正在评估辅助通气、最佳营养和药物干预方面的新方法。本综述的重点是 BPD 药物治疗的证据现状。此外,还将对需要进一步研究的未来可行方法进行综述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Bronchopulmonary Dysplasia: An Update of Current Pharmacologic Therapies and New Approaches.

Bronchopulmonary dysplasia (BPD) remains the most prevalent long-term morbidity of surviving extremely preterm infants and is associated with significant health care utilization in infancy and beyond. Recent advances in neonatal care have resulted in improved survival of extremely low birth weight (ELBW) infants; however, the incidence of BPD has not been substantially impacted by novel interventions in this vulnerable population. The multifactorial cause of BPD requires a multi-pronged approach for prevention and treatment. New approaches in assisted ventilation, optimal nutrition, and pharmacologic interventions are currently being evaluated. The focus of this review is the current state of the evidence for pharmacotherapy in BPD. Promising future approaches in need of further study will also be reviewed.

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