| 赵蒙.床旁肺超声评分在新生儿呼吸窘迫综合征中的应用[J].安徽医药,2020,24(1):150-152. |
| 床旁肺超声评分在新生儿呼吸窘迫综合征中的应用 |
| The application of lung ultrasound scores in neonatal respiratory distress syndrome |
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| DOI：10.3969/j.issn.1009?6469.2020.01.038 |
| 中文关键词: 呼吸窘迫综合征，新生儿 超声检查 胸腔积液 肺不张 肺超声评分 |
| 英文关键词: Respiratory distress syndrome,newborn Ultrasonography Pleural effusion Pulmonary atelectasis Lung ultrasound |
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| 中文摘要: |
| 目的探讨床旁肺超声评分( LUS)在新生儿呼吸窘迫综合征( NRDS)中的应用价值。方法选择郑州市妇幼保健院 2015年 6月至 2017年 9月收治的 NRDS 58例作为 NRDS组，另选同期入院无呼吸系统疾病的健康新生儿 30例作为对照组。比较 NRDS病儿双肺及不同部位 LUS差异，并分析 LUS与 NRDS严重程度及 X线的相关性。结果 NRDS组新生儿双肺、左肺、右肺及双侧肺 LUS均显著大于对照组( t＝14.374、13.039、15.375、13.955)随着病情的加重 LUS显著增大，均差异有统计学意义(P＜0.01)ROC分析显示 LUS对轻度、中度、重度 NRDS病儿的预测阈值，分别为 11.5、21.5、31.0，敏感度分别为 80.0%、89.5%、 96.6%，分别为 86.7%、89.7%、86.2%；LUS与 X线分级呈显著正相关( r＝0.858，P＜0.01)。结论 LUS是 NRDS患儿病情特异度，评估和复查随访的有效手段，可以为临床诊疗提供有力的评估依据。 |
| 英文摘要: |
| Objective To investigate the value of lung ultrasound scores(LUS)in neonatal respiratory distress syndrome(NRDS). Methods A total of 58 NRDS cases admitted to Women & Infants Hospital of Zhengzhou from June 2015 of to September 2017.were selected as NRDS group and 30 healthy neonates without respiratory disease were selected as control group.The lung ultra?sound scores of different parts were compared between the two groups.The LUS of neonates with different stages NRDS were anal?ysed and compared to X?ray grades.Results LUS of bilateral lung，left lung，right lung and bilateral lung in NRDS group was signif? icantly higher than that in control group(t＝14.374、13.039、15.375、13.955).Significantly increased LUS with the aggravation of dis? ease was discovered in NRDS group(P＜0.01).ROC analysis showed that the predictive thresholds of LUS for mild，moderate and severe NRDS were 11.5，21.5 and 31.0，respectively，the sensitivity was 80.0%，89.5% and 96.6%，with specificity of 86.7%，89.7% and 86.2%，respectively.There was a significant positively correlation between the LUS and the grade of X?ray(r＝0.858，P＜0.01). Conclusion LUS is an effective method to evaluate the severity of NRDS and could provide a powerful evaluation basis for clini?cal diagnosis and treatment. |
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