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肺部超声评分在新生儿呼吸支持中的应用价值

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目的:分析肺部超声评分在新生儿呼吸支持模式中的应用价值.方法:选取2020年1月~2024年3月期间某院65例新生儿作为研究对象,根据新生儿呼吸支持模式分为对照组(n=19,黄疸等无需呼吸支持干预新生儿)、常规氧疗组(n=11,行常规氧疗新生儿)、无创组(n=22,行无创正压通气新生儿)及有创组(n=13,行有创呼吸机辅助通气新生儿).比较4组接受不同呼吸支持的新生儿肺部超声评分,分析肺部超声评分与呼吸支持模式之间的相关性;采用ROC曲线评价肺部超声评分预测新生儿接受常规氧疗、无创正压通气和有创呼吸机辅助通气效能.结果:对照组新生儿肺部超声评分在 0~2 分,有创组新生儿肺部超声评分高于无创组和常规氧疗组(P<0.01).新生儿接受不同呼吸支持模式与肺部超声评分呈线性增加关系.肺部超声评分对新生儿常规氧疗、有创呼吸机辅助通气模式的检验效能显著(P<0.001).结论:肺部超声评分对新生儿呼吸支持模式的选择具有重要的指导价值.
The Application Value of Pulmonary Ultrasound Scores in Neonatal Respiratory Support
Objective:To analyze the application value of pulmonary ultrasound scores in neonatal respiratory support modes.Methods:A total of 65 neonates admitted to a hospital from January 2020 to March 2024 were selected as the study subjects.Based on the respiratory support modes,the neonates were divided into the control group(n=19,neonates with jaundice and other non-respiratory support interventions),the conventional oxygen therapy group(n=11,neonates receiving conventional oxygen therapy),the no-trauma group(n=22,neonates receiving non-invasive positive pressure ventilation),and the traumatized group(n=13,neonates receiving invasive ventilator-assisted ventilation).The pulmonary ultrasound scores among the four groups receiving different respiratory support modes were compared,and the correlation between these scores and respiratory support modes was analyzed.Receiver operating characteristic(ROC)curves were utilized to evaluate the predictive efficacy of pulmonary ultrasound scores for neonates receiving conventional oxyen therapy,non-invasive positive pressure ventilation and invasive ventilator-assisted ventilation.Results:The pulmonary ultrasound scores in the control group ranged from 0~2 points,while the scores in the traumatized group were significantly higher than those in the non-trauma group and the conventional oxygen therapy group(P<0.01).A linear increase relationship was observed between the different respiratory support modes and the pulmonary ultrasound scores.The pulmonary ultrasound scores demonstrated significant effectiveness in evaluating conventional oxygen therapy and invasive ventilator-assisted ventilation in neonates(P<0.001).Conclusion:The pulmonary ultrasound scores holds significant guiding value in the selection of respiratory support modes for neonates.

pulmonary ultrasound scoresneonatesconventional oxygen therapynon-invasive breathing modeinvasive breathing moderespiratory support

张国勋、唐利姣、冯云

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湘潭市第一人民医院儿科,湘潭 411101

肺部超声评分 新生儿 常规氧疗 无创呼吸模式 有创呼吸模式 呼吸支持

2024

中国合理用药探索
中国执业药师协会

中国合理用药探索

影响因子:0.62
ISSN:2096-3327
年,卷(期):2024.21(12)