高分辨率CT半定量分值判断特发性间质性肺炎患者应用糖皮质激素的近期疗效
High-resolution CT semi-quantitative score to determine the short-term efficacy of glucocorticoid in patients with idiopathic interstitial pneumonia
周慧 1汪国余 1丁月亚1
作者信息
- 1. 台州市中心医院 放射科,浙江 台州 318000
- 折叠
摘要
目的 探讨高分辨率CT半定量分值判断特发性间质性肺炎患者应用糖皮质激素治疗的近期效果.方法 此次依不同HRCT分值将2015年1月~2017年1月于台州市中心医院诊治的特发性间质性肺炎患者60例分组为对照组和观察组.HRCT分值<20%者为对照组,HRCT分值≥20%者为观察组;对比分析2组患者的临床疗效等相关数据.结果 观察组患者发绀、住院时间、住院期间死亡率等情况均差于对照组,差异有统计学意义(P<0.05);两组患者呼吸困难、呼吸困难评分、咳嗽、杵状指、爆裂音、起始激素用量、平均使用激素时间等方面情况比较,差异无统计学意义;HRCT分值20%为临界值时准确度最佳.结论 特发性间质性肺炎患者应用糖皮质激素治疗时需及时分析确定患者的近期疗效,可选择高分辨率CT半定量分值判断近期疗效显著,HRCT分值为20%时可获得极佳的诊断符合率.
Abstract
Objective To investigate the short-term effects of glucocorticoid therapy on patients with idiopathic interstitial pneumonia using high resolution CT semi quantitative scores. Methods According to the different HRCT scores will be January 2015 -2017 year in January in our hospital for diagnosis and treatment of idiopathic interstitial pneumonia patients with 60 cases of groups: control group with HRCT score < 20%, the observation group with HRCT score more than 20%; the patients in the two groups of experimental data were recorded in detail and analyzed and discussed the high resolution CT semi quantitative score judgment of idiopathic interstitial pneumonia patients treated with glucocorticoid efficacy. Results The observation group (HRCT score≥20%) accuracy is higher than that of the control group (HRCT score<20%), the difference between groups was statistically significant (P<0.05). Conclusion The treatment of idiopathic interstitial pneumonia in patients with glucocorticoid selection of high resolution CT;semi quantitative score to determine significant short-term effect, HRCT score of the best critical value was 20%, the diagnostic accordance rate can obtain excellent.
关键词
高分辨率CT/半定量分值/特发性间质性肺炎/糖皮质激素Key words
high resolution CT/semi quantitative score/idiopathic interstitial pneumonia/glucocorticoid引用本文复制引用
出版年
2017
NETL
NSTL
维普
万方数据