肺超声检查在新生儿肺源性呼吸窘迫综合征中的诊断价值
Diagnostic value of pulmonary ultrasound in neonates with pulmonary respiratory distress syndrome
张婷婷1
作者信息
- 1. 山东省淄博市妇幼保健院新生儿科,山东淄博 255000
- 折叠
摘要
目的 探讨肺超声检查在新生儿肺源性呼吸窘迫综合征中的诊断价值.方法 选取 2022 年 7 月至 2023 年 7 月淄博市妇幼保健院收治的100 例疑似有肺源性呼吸窘迫综合征的新生儿作为研究对象,所有患儿均进行X线检查及肺部超声检查.以临床综合诊断结果作为金标准,比较不同诊断方法的诊断效能及不同病情严重程度的肺超声评分.结果 临床综合诊断显示,阳性 88 例,阴性12 例.肺超声检查灵敏性、准确性、阴性预测值均高于X线检查(P<0.05).两种检查方式特异性、阳性预测值比较,差异无统计学意义(P>0.05).轻度患儿肺超声评分低于中度及重度患儿,中度患儿肺超声评分低于重度患儿(P<0.05).结论 肺超声检查可对新生儿肺源性呼吸窘迫综合征进行辅助诊断,具有较高的灵敏性和准确性,肺超声评分可对病情的严重程度提供参考依据.
Abstract
Objective To investigate the diagnostic value of pulmonary ultrasound in neonates with pulmonary respiratory distress syndrome.Methods A total of 100 neonates suspected to have pulmonary respiratory distress syndrome admitted to Zibo Maternal and Child Health Hospital from July 2022 to July 2023 were selected as the study objects.All the neonates underwent X-ray examination and pulmonary ultrasound examination.Using the comprehensive clinical diagnosis results as the gold standard,the diagnostic efficacy of different diagnostic methods and the pulmonary ultrasound scores of different severity of disease were compared.Results Clinical comprehensive diagnosis showed that 88 cases were positive and 12 cases were negative.The sensitivity,accuracy and negative predictive value of ultrasound were higher than those of X-ray examination(P<0.05).There was no significant difference in specificity and positive predictive value between the two examination methods(P>0.05).The ultrasound scores of mild children were lower than those of moderate and severe children,and those of moderate children were lower than those of severe children(P<0.05).Conclusion Pulmonary ultrasound can assist in the diagnosis of neonatal pulmonary distress syndrome,with high sensitivity and accuracy,and pulmonary ultrasound score can provide the reference for the severity of the disease.
关键词
新生儿/肺源性呼吸窘迫综合征/肺超声/X线检查/诊断效能Key words
Neonate/Pulmonary respiratory distress syndrome/Pulmonary ultrasound/X-ray examination/Diagnostic efficacy引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据