儿童呼吸机相关膈肌功能障碍监测技术与参考指标研究进展

Progress on monitoring technology and assessment indices of pediatric ventilator-induced diaphragm dysfunction

机械通气在临床中的使用越来越普遍,它在帮助患儿纠正呼吸衰竭的同时,也会导致呼吸机相关膈肌功能障碍(VIDD)。VIDD在机械通气患儿中很常见,而且与患儿机械通气时间延长、困难撤机、肺部感染和病死率息息相关。随着临床医疗技术的发展,越来越多的便捷式床旁膈肌功能评估设备被应用于临床中。本文从膈肌力学指标、影像学检查、膈肌电活动三方面,就儿童VIDD监测技术及参考指标的最新进展进行综述。

Mechanical ventilation is becoming more and more common in clinical practice.It certainly helps patients to overcome the respiratory failure in children,but in the meantime,also lead to ventilator-induced diaphragm dysfunction(VIDD).VIDD is common in mechanical ventilation patients and are associated with prolonged duration of mechanical ventilation,difficult weaning,pulmonary infection and the mortality.With the development of clinical medical technology,more and more convenient devices are applied to monitor diaphragm function.This review expounded the latest monitoring technology and assessment indices of VIDD,including pressure-generating capacity,imaging examination and diaphragm electrical activity.