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肺部超声评分在新生儿呼吸窘迫综合征中的应用效果

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目的 分析肺部超声评分在新生儿呼吸窘迫综合征(NRDS)中的诊断价值.方法 将 71例NRDS患儿作为研究对象,均行肺部超声扫描,记录肺部超声评分.比较不同胸部X线(CXR)分级、不同时间点、不同撤机结果患儿的肺部超声评分、吸气峰压(PIP)、吸入氧气浓度(FiO2);采用受试者工作特征(ROC)曲线分析肺部超声评分对NRDS患儿病情的诊断价值.结果 治疗前,CXR分级越高患儿肺部超声评分及PIP、FiO2 参数越高(P<0.01).随着治疗的延续患儿肺部超声评分逐渐降低,撤机成功患儿肺部超声评分低于撤机失败患儿(P<0.01).ROC曲线分析显示,肺部十四分区超声评分诊断NRDS病情的价值较高.结论 肺部超声评分可有效判断NRDS患儿病情程度,并可评估治疗效果.
Application effect of lung ultrasound score in neonatal respiratory distress syndrome
Objective To analyze the diagnostic value of lung ultrasound(LUS)score in neonatal respiratory distress syndrome(NRDS).Methods Seventy-one NRDS children were selected as research objects,lung ultrasound scans performed for all patients,and LUS scores recorded.LUS scores,peak inspiratory pressure(PIP)and inspired oxygen concentration(FiO2)were compared among patients with different chest X-ray(CXR)grading,at different time-point and with different weaning results;receiver operating characteristic(ROC)curve was used to analyze the diagnostic value of the LUS score for patients'condition of the NRDS.Results Before treatment,the higher the CXR grading,the higher the LUS score and the parameters of PIP and FiO2(P<0.01).As the treatment continued,the LUS score,gradually lowered,and the LUS score was lower in patients with weaning success than ones with weaning failure(P<0.01).The ROC curve analysis showed that 14-zone ultrasound scores had a higher value diagnosing patients'condition of the NRDS.Conclusion The LUS score can effectively judge patients'condition of the NRDS children and evaluate the therapeutic effect.

neonatal respiratory distress syndromelung ultrasound scoreillness assessment

吴江云、刘岷、韩菲燕

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450000(河南·郑州)河南中医药大学第一附属医院

新生儿呼吸窘迫综合征 肺部超声评分 病情评估

2025

临床心身疾病杂志
河南省精神病医院(新乡医学院第二附属医院)

临床心身疾病杂志

影响因子:1.01
ISSN:1672-187X
年,卷(期):2025.31(1)