俯卧位通气在新生儿急性呼吸窘迫综合征中的研究进展
Research Progress of Prone Position Ventilation in Neonatal Acute Respiratory Distress Syndrome
摘要: 新生儿急性呼吸窘迫综合症作为新生儿重症监护征(NICU)常见的疾病，新生儿急性呼吸窘迫综合征在国内外都有着较高的死亡率。近年来，俯卧位通气被认为是急性呼吸窘迫综合征(ARDS)的有效治疗方法。本文针对俯卧位通气体位在新生儿急性呼吸窘迫综合征的研究现状予以综述，以期为临床工作提供参考。
Abstract: As a common disease in neonatal intensive care unit (NICU), neonatal acute respiratory distress syndrome (ARDS) has a high mortality rate both domestically and internationally. In recent years, prone position ventilation has been considered as an effective treatment for ARDS. This article re-views the current research status of prone position ventilation in neonatal ARDS, with a view to providing reference for clinical work.
文章引用：张一涵, 史源. 俯卧位通气在新生儿急性呼吸窘迫综合征中的研究进展[J]. 临床医学进展, 2023, 13(11): 17957-17962. https://doi.org/10.12677/ACM.2023.13112520

参考文献

[1] Ashbaugh, D.G., Bigelow, D.B., Petty, T.L., et al. (1967) Acute Respiratory Distress in Adults. The Lancet, 2, 319-323. [Google Scholar] [CrossRef] 
[2] De Luca, D., van Kaam, A.H., Tingay, D.G., et al. (2017) The Montreux Definition of Neonatal ARDS: Biological and Clinical Background behind the Description of a New Entity. The Lancet Respiratory Medicine, 5, 657-666. [Google Scholar] [CrossRef] 
[3] De Luca, D., Tingay, D.G., van Kaam, A.H., et al. (2022) Epidemiology of Neonatal Acute Respiratory Distress Syndrome: Prospective, Multicenter, International Cohort Study. Pediatric Critical Care Medicine, 23, 524-534. [Google Scholar] [CrossRef] 
[4] Chen, L., Li, J. and Shi, Y. (2023) Clinical Characteristics and Outcomes in Neonates with Perinatal Acute Respiratory Distress Syndrome in China: A National, Multicentre, Cross-Sectional Study. EClinicalMedicine, 55, Article ID: 101739. [Google Scholar] [CrossRef] [PubMed]
[5] Bryan, A.C. (1974) Conference on the Scientific Basis of Res-piratory Therapy. Pulmonary Physiotherapy in the Pediatric Age Group. Comments of a Devil’s Advocate. American Re-view of Respiratory Disease, 110, 143-144.
[6] Brodie, D. and Bacchetta, M. (2011) Extracorporeal Membrane Oxy-genation for ARDS in Adults. The New England Journal of Medicine, 365, 1905-1914. [Google Scholar] [CrossRef] 
[7] Abrams, D., Schmidt, M., Pham, T., et al. (2020) Mechanical Venti-lation for Acute Respiratory Distress Syndrome during Extracorporeal Life Support. Research and Practice. American Journal of Respiratory and Critical Care Medicine, 201, 514-525. [Google Scholar] [CrossRef] 
[8] Cumpstey, A.F., Oldman, A.H., Smith, A.F., et al. (2020) Oxy-gen Targets in the Intensive Care Unit during Mechanical Ventilation for Acute Respiratory Distress Syndrome: A Rapid Review. Cochrane Database of Systematic Reviews, 9, D13708. [Google Scholar] [CrossRef] 
[9] 梁欢, 王伏东, 蒋丽军, 等. 俯卧位通气在新生儿急性呼吸窘迫综合征治疗中的临床应用[J]. 实用临床医药杂志, 2022, 26(14): 114-118.
[10] Rampon, G.L., Simpson, S.Q. and Agrawal, R. (2023) Prone Positioning for Acute Hy-poxemic Respiratory Failure and ARDS. Chest, 163, 332-340. [Google Scholar] [CrossRef] [PubMed]
[11] Henderson, A.C., Sa, R.C., Theilmann, R.J., et al. (2013) The Gravitational Distribution of Ventilation-Perfusion Ratio Is More Uniform in Prone than Supine Posture in the Normal Human Lung. Journal of Applied Physiology, 115, 313-324. [Google Scholar] [CrossRef] [PubMed]
[12] Musch, G., Layfield, J.D., Harris, R.S., et al. (2002) Topo-graphical Distribution of Pulmonary Perfusion and Ventilation, Assessed by PET in Supine and Prone Humans. Journal of Applied Physiology, 93, 1841-1851. [Google Scholar] [CrossRef] [PubMed]
[13] Orphanidou, D., Hughes, J.M., Myers, M.J., et al. (1986) Tomography of Regional Ventilation and Perfusion Using Krypton 81m in Normal Subjects and Asthmatic Patients. Thorax, 41, 542-551. [Google Scholar] [CrossRef] [PubMed]
[14] Kaneko, K., Milic-Emili, J., Dolovich, M.B., et al. (1966) Regional Distribution of Ventilation and Perfusion as a Function of Body Position. Journal of Applied Physiology, 21, 767-777. [Google Scholar] [CrossRef] [PubMed]
[15] Petersson, J., Rohdin, M., Sanchez-Crespo, A., et al. (2007) Posture Primarily Affects Lung Tissue Distribution with Minor Effect on Blood Flow and Ventilation. Respira-tory Physiology & Neurobiology, 156, 293-303. [Google Scholar] [CrossRef] [PubMed]
[16] Jones, A.T., Hansell, D.M. and Evans, T.W. (2001) Pulmonary Perfusion in Supine and Prone Positions: An Electron-Beam Computed Tomography Study. Journal of Applied Physiol-ogy, 90, 1342-1348. [Google Scholar] [CrossRef] [PubMed]
[17] Amis, T.C., Jones, H.A. and Hughes, J.M. (1984) Effect of Posture on Inter-Regional Distribution of Pulmonary Perfusion and VA/Q Ratios in Man. Respiration Physiology, 56, 169-182. [Google Scholar] [CrossRef] [PubMed]
[18] Gleissman, H., Forsgren, A., Andersson, E., et al. (2021) Prone Positioning in Mechanically Ventilated Patients with Severe Acute Respiratory Distress Syndrome and Corona-virus Disease 2019. Acta Anaesthesiologica Scandinavica, 65, 360-363. [Google Scholar] [CrossRef] [PubMed]
[19] Albert, R.K. and Hubmayr, R.D. (2000) The Prone Position Eliminates Compression of the Lungs by the Heart. American Journal of Respiratory and Critical Care Medicine, 161, 1660-1665. [Google Scholar] [CrossRef] [PubMed]
[20] Jozwiak, M., Teboul, J.L., Anguel, N., et al. (2013) Beneficial Hemodynamic Effects of Prone Positioning in Patients with Acute Respiratory Distress Syndrome. American Journal of Respiratory and Critical Care Medicine, 188, 1428-1433. [Google Scholar] [CrossRef] 
[21] 米洁, 黄桃, 高西. 俯卧位通气在急性呼吸窘迫综合征中的应用及护理干预研究[J]. 重庆医学, 2017, 46(14): 1904-1906.
[22] 赵劭懂, 缪红军, 喻文亮. 俯卧位在儿科急性呼吸窘迫综合征中的应用[J]. 中华实用儿科临床杂志, 2017, 32(20): 1598-1600.
[23] 高丽丽, 吴泰华, 贺环宇. 俯卧位通气在急性呼吸窘迫综合征治疗中的研究进展[J]. 大连医科大学学报, 2021, 43(3): 273-277.
[24] Mackenzie, C.F. (2001) Anatomy, Physiology, and Patholo-gy of the Prone Position and Postural Drainage. Critical Care Medicine, 29, 1084-1085. [Google Scholar] [CrossRef] [PubMed]
[25] Pourazar, F., Borimnejad, L., Mohaghaghi, P., et al. (2018) Comparison of the Effects of Prone and Supine Positions on Abdominal Distention in the Premature Infants Re-ceiving Nasal Continuous Positive Airway Pressure (NCPAP). Iranian Journal of Neonatology—IJN, 9, 7-12.
[26] 雷光锋, 张雪晴, 张素霞. ALI/ARDS患者俯卧位与仰卧位通气的Meta分析[J]. 护理学杂志, 2016, 31(22): 87-92.
[27] Horne, R. (2019) Sudden infant Death Syndrome: Current Perspectives. Internal Medicine Journal, 49, 433-438. [Google Scholar] [CrossRef] [PubMed]
[28] Bhandari, A.P., Nnate, D.A., Vasanthan, L., et al. (2022) Positioning for Acute Respiratory Distress in Hospitalised Infants and Children. Cochrane Database of Systematic Reviews, 6, D3645. [Google Scholar] [CrossRef] 
[29] 朱文婷. 俯卧位通气干预护理对新生儿急性呼吸窘迫综合征的作用研究[J]. 中国医药指南, 2021, 19(18): 226-227.
[30] 尹长芹. 机械通气联合俯卧位通气治疗新生儿急性呼吸窘迫综合征的优质护理[J]. 全科护理, 2019, 17(5): 593-595.
[31] 蔡静. 新生儿急性呼吸窘迫综合征行机械通气联合俯卧位通气的疗效及安全性[J]. 吉林医学, 2023, 44(6): 1527-1529.
[32] Loi, B., Regiroli, G., Foligno, S., et al. (2023) Respiratory and Haemodynamic Effects of 6h-Pronation in Neonates Recovering from Respira-tory Distress Syndrome, or Affected by Acute Respiratory Distress Syndrome or Evolving Bronchopulmonary Dysplasia: A Prospective, Physiological, Crossover, Controlled Cohort Study. eClinicalMedicine, 55, Article ID: 101791. [Google Scholar] [CrossRef] [PubMed]
[33] Emeriaud, G., Lopez-Fernandez, Y.M., Iyer, N.P., et al. (2023) Executive Summary of the Second International Guidelines for the Diagnosis and Management of Pediatric Acute Res-piratory Distress Syndrome (PALICC-2). Pediatric Critical Care Medicine, 24, 143-168. [Google Scholar] [CrossRef] 
[34] 中华医学会重症医学分会重症呼吸学组. 急性呼吸窘迫综合征患者俯卧位通气治疗规范化流程[J]. 中华内科杂志, 2020, 59(10): 781-787.
[35] Ranieri, V.M., Rubenfeld, G.D., Thompson, B.T., et al. (2012) Acute Respiratory Distress Syndrome: The Berlin Definition. JAMA, 307, 2526-2533. [Google Scholar] [CrossRef] [PubMed]
[36] Guerin, C., Reignier, J., Richard, J.C., et al. (2013) Prone Positioning in Severe Acute Respiratory Distress Syndrome. The New England Journal of Medicine, 368, 2159-2168. [Google Scholar] [CrossRef] 
[37] Rowan, C.M., Klein, M.J., Hsing, D.D., et al. (2020) Early Use of Adjunctive Therapies for Pediatric Acute Respiratory Distress Syndrome: A PARDIE Study. American Journal of Res-piratory and Critical Care Medicine, 201, 1389-1397. [Google Scholar] [CrossRef] 

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