摘要
目的:分析肺部超声联合氧合指数对重症肺炎患者病情严重程度及预后进行评估的价值。方法:选取2021年1月—2022年12月湖北省阳新县人民医院收治的重症肺炎患者50例为观察组;另外选取我院同期收治的普通肺炎患者50例为对照组。比较两组急性生理与慢性健康状况评分系统Ⅱ(APACHEⅡ)评分、临床肺部感染评分(CPIS)、肺部超声评分与氧合指数。结果:观察组APACHEⅡ、CPIS、肺部超声评分高于对照组,氧合指数低于对照组,差异有统计学意义(P<0.05);存活患者的氧合指数高于死亡患者,而肺部超声评分低于死亡患者,差异有统计学意义(P<0.05);观察组患者的肺部超声与APACHEⅡ、CPIS评分呈正相关(r=0.5097、0.5326,P=0.0067、0.0042),氧合指数与APACHEⅡ、CPIS评分呈负相关(r=-0.4668、-0.4116,P=0.0083、0.0108)。结论:联合肺部超声检查与氧合指数检测,不但能准确判定重症肺炎患者的病情严重程度,还能准确评估其预后。
Objective:To analyze the value of lung ultrasound combined with oxygenation index in assessing the severity and prognosis of patients with severe pneumonia.Methods:Fifty patients with severe pneumonia admitted to Hubei Yangxin County People's Hospital from January 2021 to December 2022 were selected as the observation group.Another 50 cases of ordinary pneumonia patients admitted to the hospital during the same period were selected as the control group.Comparison of acute physiologic and chronic health status scoring systemⅡ(APACHEⅡ)scores,Clinical pulmonary infection score(CPIS),lung ultrasound scores and oxygenation index between the two groups.Results:The APACHE II,CPIS,and lung ultrasound scores of the observation group were higher than those of the control group,and the oxygenation index was lower than that of the control group,with statistically significant differences(P<0.05);the oxygenation index of the surviving patients was higher than that of the dead patients,while the lung ultrasound scores were lower than that of the dead patients,with statistically significant differences(P<0.05);the lung ultrasound of patients in the observation group was positively correlated with APACHE II and CPIS scores(r=0.5097,0.5326,P=0.0067,0.0042),and the oxygenation index was negatively correlated with APACHE II and CPIS scores(r=-0.4668,-0.4116,P=0.0083,0.0108).Conclusion:Combining lung ultrasonography and oxygenation index test can not only accurately determine the severity of severe pneumonia patients,but also accurately assess their prognosis.
作者
李名巧
郑怀玉
Li Mingqiao;Zheng Huaiyu(Department of Ultrasound Medicine,Hubei Yangxin County People's Hospital,Huangshi 435200,Hubei Province,China;Department of Respiratory and Critical Care Medicine,Hubei Yangxin County People's Hospital,Huangshi 435200,Hubei Province,China)
出处
《中外医药研究》
2024年第12期133-135,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
肺部超声
氧合指数
重症肺炎
预后
Lung ultrasound
Oxygenation index
Severe pneumonia
Prognosis
