| 林志星.肺超声评分用于坠积性肺炎病人病情评估的应用价值[J].安徽医药,2021,25(12):2479-2481. |
| 肺超声评分用于坠积性肺炎病人病情评估的应用价值 |
| Application value of pulmonary ultrasound scoring in diagnosing the severity of patients with hypostatic pneumonia |
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| DOI：10.3969/j.issn.1009-6469.2021.12.034 |
| 中文关键词: 肺炎 超声检查，多普勒，彩色 C反应蛋白质 血气分析 用力呼气量 炎性因子 肺功能 |
| 英文关键词: Pneumonia Ultrasonography, Doppler, color C-reactive protein Blood gas analysis Forced expiratory volume Inflammatory factors Pulmonary function |
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| 中文摘要: |
| 目的观察肺超声评分对坠积性肺炎病人病情评估的应用价值。方法选取 2018年 2月至 2019年 3月在海南医学院第一附属医院接受治疗的坠积性肺炎病人 100例为研究对象，其中非重症组 65例，重症组 35例；同时选取同期在该院体检的健康成年人 50例作为对照组。比较三组肺超声评分、血气指标［经皮动脉血氧饱和度( SpO2)、动脉血二氧化碳分压( PaCO2)］、炎性因子［超敏 C反应蛋白( hs-CRP)、肿瘤坏死因子 -α(TNF-α)、白细胞介素 -8(IL-8)］和肺功能指标［用力肺活量( FVC)、第 1秒用力呼气容积( FEV1)、最大呼气中期流量( MMEF)、呼气流量峰值( PEF)］的差异。结果三组病人的 SpO2水平最高为对照组、最低为重症组( P<0.05)；对照组、非重症组、重症组肺超声评分［(10.34±3.05)分比( 25.12±2.11)分比( 34.35±2.02)分］和 Pa. CO2水平最高为重症组，最低为对照组( P<0.05)；三组 FVC、FEV1MMEF、PEF水平最高为对照组，最低为重症组( P<0.05)；三组 hs-CRP、TNF-α和 IL-8水平最高为重症组，最低为对照组( P<0.05)、。结论肺超声评分对坠积性肺炎病人的诊断价值较高，具有良好的应用价值。 |
| 英文摘要: |
| Objective To observe the application value of pulmonary ultrasound score in the evaluation of patients with hypostatic pneumonia.Methods A total of 100 patients with hypoplastic pneumonia who were treated in The First Affiliated Hospital of HainanMedical College from February 2018 to March 2019 were selected as the research objects, including 65 cases in the non-critical groupand 35 cases in the critical group. At the same time, 50 healthy adults who had a physical examination in the hospital during the sameperiod were selected as the control group. The difference in lung ultrasound scores, blood gas indicators [percutaneous arterial oxygensaturation (SpO2), arterial partial pressure of carbon dioxide (PaCO2)], inflammatory factors [high sensitivity C-reactive protein (hs-CRP), tumor necrosis factor-α (TNF-α), interleukin-8 (IL-8)] and lung function indicators [forced vital capacity (FVC), forced expiratory flow in the first second (FEV1), maximum mid expiratory flow (MMEF), peak expiratory flow (PEF)] of the three groups were compared. Results The three groups of patients had the highest SpO2 levels in the control group and the lowest in the severe group (P<0.05). The control group, the non-critical group and the severe group had the highest lung ultrasound scores [(10.34±3.05) score vs. (25.12±2.11) score vs. (34.35±2.02) score], PaCO2 levels were the highest in the severe group and the lowest in the control group (P<0.05); the levels of FVC, FEV1, MMEF, and PEF of the three groups were the highest in the control group and the lowest in the severe group (P<0.05); the levels of hs-CRP, TNF-α and IL-8 of the three groups were the highest in the severe group, and the lowest in the control group (P< 0.05).Conclusion Pulmonary ultrasound score has a high diagnostic value for patients with hypostatic pneumonia and has good appli. cation value. |
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