神经调节辅助通气在儿科的应用

Appfication of neurally adjusted ventilatory assist in pediatrics

儿科危重症救治中，呼吸机辅助呼吸起举足轻重的作用。新生儿医师一直在努力寻找一种更好的呼吸支持方式。近年来出现了一种新型的通气模式——神经调节辅助通气（NAVA），由于与以往通气模式的原理完全不同，NAVA对于新生儿呼吸治疗的疗效可能也会与常规机械通气不同，现将NAVA在儿科应用的研究进行综述，使儿科医师更了解NAVA呼吸支持方式，为机械通气治疗提供了新的思路。

During the treatment of pediatric critical cases, the mechanical ventilation support is one of the most important factors. Neonatologists are trying to find a better mode of ventilation support. Neurally adjusted ventilatory assist （NAVA） is a new mode of mechanical ventilation controlled by diaphragmatic electrical signals. Because the mechanism of ventilation support is different from the conventional ventilators, NAVA provides a different effect of respiratory support varying with the needs of the newborn. Pediatric studies had been review to provide more information of NAVA to pediatrics.