自主呼吸试验在早产儿拔管中的应用
Application of Spontaneous Breathing Trials in Extubation of Preterm Infants
DOI: 10.12677/ACM.2024.143681, PDF,   
作者: 成淑琪, 薛 江*：山东大学第二医院儿童医学中心，山东 济南
关键词: 自主呼吸试验；早产儿；机械通气；拔管；Spontaneous Breathing Trials； Preterm Infants； Mechanical Ventilation； Extubation
摘要: 自主呼吸试验(Spontaneous Breathing Trial, SBT)是一种兼具实用性、可行性及安全性的拔管前评估自主呼吸能力的工具，可提高拔管成功率、减少机械通气时间。在成年人群中是一种成熟的、常用的撤机前评估方法，但目前在新生儿特别是早产儿中研究较少。持续气管导管内正压通气(Endotracheal Continuous Positive Airway Pressure, ET-CPAP)法SBT是早产儿中研究最多的方法，具有较好的敏感性，但特异性较低。适合于早产儿的自主呼吸试验模式仍需进一步探索。本文主要从定义、分类、实施方法及安全性方面对SBT既往研究进行分析及总结。
Abstract: The spontaneous breathing trial is an assessment tool used to assess the ability of spontaneous breathing before extubation. It can improve the success rate of extubation and reduce the time of mechanical ventilation. It is a well-established and commonly used assessment method in adults, but has been less studied in neonates, especially preterm infants. Continuous Positive Airway Pres-sure (ET-CPAP) is the most extensively studied method in premature infants, with good sensitivity but low specificity. The model of spontaneous breathing trial suitable for premature infants still needs to be further explored. This paper mainly analyzes and summarizes the previous researches on SBT, from the aspects of definition, classification, implementation methods and security.
文章引用：成淑琪, 薛江. 自主呼吸试验在早产儿拔管中的应用[J]. 临床医学进展, 2024, 14(3): 165-170. https://doi.org/10.12677/ACM.2024.143681

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