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%,特异度分别为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。
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.
作者
赵蒙
ZHAO Meng(Department of Ultrasound,Women&Infants Hospital of Zhengzhou,Zhengzhou,Henan 450000,China)
出处
《安徽医药》
CAS
2020年第1期150-152,共3页
Anhui Medical and Pharmaceutical Journal
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
Respiratory distress syndrome
newborn
Ultrasonography
Pleural effusion
Pulmonary atelectasis
Lung ultrasound scores
