无创辅助通气在新生儿监护病房的临床应用

Clinical application of noninvasive assisted ventilation in neonatal intensive care unit

随着新生儿监护病房(NICU)救治水平及管理手段的日臻完善,新生儿呼吸系统的疾病谱和严重程度也发生了很大变化。因此,机械通气方式也随之而改变,在NICU无创辅助通气的使用频率明显增加。相关临床工作者十分关注经鼻持续正压通气(NCPAP)、经鼻间歇正压通气(NIPPV)、经鼻双水平正压通气(NBi PAP)及加温湿化高流量鼻导管(HHHFNC)的原理、适应证及临床应用等相关问题。

With the increasing perfection of the treatment level and the management means in NICU, the spectrum of neona- tal respiratory disease and severity have also changed a lot. As a result, the mechanical ventilation mode has also changed. In NICU, the use of noninvasive assisted ventilation increases significantly. The clinical pediatricians should pay attention to the principles, indications and clinical application of the nasal continuous positive airway pressure （NCPAP）, the nasal intermittent positive pressure ventilation （NIPPV）, the nasal biphasic positive airway pressure, （NBiPAP） and heated humidity high flow of nasal catheter （HHHFNC）.