| 江秋霞,吕国荣,施丽景,李晓庆,黄嵘森,沈龙源.肺部十四分区超声评分法诊断新生儿呼吸窘迫综合征[J].中国医学影像技术,2022,38(10):1486~1490 |
| 肺部十四分区超声评分法诊断新生儿呼吸窘迫综合征 |
| Fourteen-zone lung ultrasound score for diagnosing neonatal respiratory distress syndrome |
| 投稿时间：2021-12-17 修订日期：2022-04-30 |
| DOI：10.13929/j.issn.1003-3289.2022.10.010 |
| 中文关键词: 呼吸窘迫综合征,新生儿 超声检查 |
| 英文关键词:respiratory distress syndrome, newborn ultrasonography |
| 基金项目: |
|
| 摘要点击次数: 1604 |
| 全文下载次数: 712 |
| 中文摘要: |
| 目的 观察肺部十四分区超声评分法诊断新生儿呼吸窘迫综合征（NRDS）的价值。方法 对84例NRDS （NRDS组）和40例其他疾病患儿（对照组）行肺部超声评分（LUS），分别记录肺部六分区法、十分区法、十二分区法和十四分区法评分结果，比较其与胸部X线（CXR）诊断NRDS的一致性，分析4种LUS与X线分级、血气分析结果及辅助通气参数等临床指标的相关性；计算肺部十四分区法诊断NRDS及不同CXR分级患儿NRDS的效能。结果 4种LUS评分结果与NRDS患儿CXR分级、吸气峰压、呼气末正压通气、吸入氧气浓度及使用呼吸机天数均呈正相关（P均<0.05），而与血氧浓度呈负相关（P<0.05）；肺部十四分区法评分结果与上述指标的相关性最高，其诊断NRDS的敏感度、特异度、阳性预测值和阴性预测值分别为96.43%（81/84）、95.00%（38/40）、97.59%（81/83）及92.68%（38/41），对CXR Ⅰ级、Ⅱ级、Ⅲ级及Ⅳ级的LUS评分分别为14.50、27.00、40.50及51.50分，曲线下面积（AUC）分别为0.972、0.992、0.992及0.972，敏感度分别为97.96%、94.20%、100%及93.30%，特异度分别为82.76%、100%、92.30%及92.70%。结论 肺部十四分区超声评分法评价结果与CXR和临床分期具有较好相关性，可用于早期诊断NRDS、鉴别诊断和判断其严重程度。 |
| 英文摘要: |
| Objective To explore the value of fourteen-zone lung ultrasound score in diagnosis of neonatal respiratory distress syndrome (NRDS). Methods Lung ultrasound score (LUS) was performed in 84 children with NRDS (NRDS group) and 40 children with other diseases (control group). The scoring results of six-zone lung method, ten-zone lung method, twelve-zone lung method and fourteen-zone lung method were recorded, respectively. The consistency of the above 4 LUS methods and chest X-ray (CXR) in diagnosis of NRDS were explored, and the correlation of LUS and clinical indexes, including X-ray classification, blood gas analysis and the parameters of assisted ventilation was analyzed. The diagnostic efficacy of fourteen-zone lung method for NRDS, as well as NRDS with different CXR grades were calculated. Results LUS outcomes were positively correlated with CXR classification, peak inspiratory press, positive end expiratory press, inspiratory oxygen concentration, assisted ventilation mode and ventilator days (all P<0.05), but negatively correlated with blood oxygen concentration (P<0.05). Fourteen-zone lung score had the best correlation with the above indicators. The diagnostic sensitivity, specificity, positive predictive value and negative predictive value of fourteen-zone lung scoring for diagnosing NRDS was 96.43% (81/84), 95.00% (38/40), 97.59% (81/83) and 92.68% (38/41), respectively. The outcomes of LUS for chest X-ray grade Ⅰ, Ⅱ, Ⅲ and Ⅳ NRDS children was 14.50, 27.00, 40.50 and 51.50, respectively, with AUC of 0.972, 0.992, 0.992 and 0.972, sensitivity of 97.96%, 94.20%, 100% and 93.30%, specificity of 82.76%, 100%, 92.30% and 92.70%, respectively. Conclusion The outcomes of fourteen-zone lung ultrasound score were well correlated with those of CXR and clinical classification. Fourteen-zone lung ultrasound score could be used to early diagnose, differentiate and judge the severity of NRDS. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
