中国实用儿科杂志

中国实用儿科杂志

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神经调节辅助通气技术在早产儿呼吸支持中的应用

  

  1. 浙江大学医学院附属儿童医院新生儿重症监护室，浙江  杭州  310052
  • 出版日期:2018-05-05 发布日期:2018-05-14

Application of neurally adjusted ventilatory assist technology in ventilatory support for premature infants

  1. Neonatal Intensive Care Unit， the Children’s Hospital， Zhejiang University School of Medicine，Hangzhou  310052，China
  • Online:2018-05-05 Published:2018-05-14

摘要：

随着新生儿重症监护病房（NICU）救治技术的日益发展， 早产儿存活率显著提高。呼吸支持作为早产儿急救的重要手段， 其治疗理念也在不断进步。神经调节辅助通气（NAVA）作为一种创新性的辅助呼吸模式， 利用膈肌电活动（EAdi）控制通气， 使呼吸触发和辅助通气保持最大程度同步。目前NAVA技术已在国内外临床逐步开展， 文章就其原理和方法进行介绍， 并对相关临床应用及研究现状分析探讨， 为临床实践提供指导。

关键词: 神经调节辅助通气, 早产儿, 呼吸支持

Abstract:

With the development of NICU treatment strategies，the survival rate of premature infants has been significantly improved. The treatment concept in ventilatory support is progressing，which is the most essential rescue therapy for preterm. Neurally adjusted ventilatory assist（NAVA） is a novel approach of mechanical ventilation，which is based on the electrical activity of the diaphragm（EAdi） to control ventilation，synchronizing the respiratory trigger and assisted ventilation as much as possible. At present，the NAVA technology has been gradually carried out both at home and abroad. The paper reviews principle and method of NAVA，analyzes clinical applications and the research status，and provides guidance for clinical practice.

Key words: neurally adjusted ventilatory assist, premature infant, ventilatory support