| 刘元琳,赵浩天,王晓娜,刘奕,李丽.胸膜及肺超声评分联合实验室指标预测肺炎致呼吸衰竭预后[J].中国医学影像技术,2026,42(5):712~715 |
| 胸膜及肺超声评分联合实验室指标预测肺炎致呼吸衰竭预后 |
| Pleural and lung ultrasound scores combined with laboratory indicators for predicting prognosis of respiratory failure caused by pneumonia |
| 投稿时间：2025-11-21 修订日期：2026-04-13 |
| DOI：10.13929/j.issn.1003-3289.2026.05.012 |
| 中文关键词: 肺炎 呼吸困难 预后 超声检查 生物标志物 |
| 英文关键词:pneumonia dyspnea prognosis ultrasonography biological markers |
| 基金项目:河北省医学科学研究课题计划(20230337)。 |
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| 中文摘要: |
| 目的 观察胸膜及肺超声评分联合实验室指标预测肺炎致呼吸衰竭预后的价值。方法 回顾性纳入99例肺炎致呼吸衰竭患者,根据治疗28 d后转归分为预后不良组(n=26)与预后良好组(n=73);比较组间肺超声评分、胸膜征象评分、胸膜滑动评分,胸膜肺联合超声评分及实验室检查结果,以二元logistic回归分析预后独立预测因素。绘制受试者工作特征(ROC)曲线,计算曲线下面积(AUC),评价上述各单一参数及其联合的预测效能。结果 预后不良组肺超声评分、胸膜征象评分、胸膜滑动评分,以及中性粒细胞百分比(NEUT%)、降钙素原(PCT)、C-反应蛋白(CRP)及血清淀粉样蛋白A(SAA)均高于,而淋巴细胞百分比(LYM%)、氧分压(PaO2)及氧合指数均低于预后良好组(P均＜0.05)。胸膜滑动评分、肺超声评分及PCT均为预后独立预测因素(P均＜0.05)。单一胸膜滑动评分、肺超声评分及PCT预测肺炎致呼吸衰竭预后的AUC分别为0.799、0.788及0.633,而三者联合的AUC为0.867。结论 胸膜及肺超声评分联合实验室指标用于预测肺炎致呼吸衰竭预后具有良好价值。 |
| 英文摘要: |
| Objective To observe the value of pleural and lung ultrasound scores combined with laboratory indicators for predicting prognosis of respiratory failure caused by pneumonia. Methods A total of 99 patients with respiratory failure caused by pneumonia were retrospectively collected. Based on the outcome 28 days after treatment, the patients were divided into poor prognosis group (n=26) and good prognosis group (n=73). Lung ultrasound score, pleural sign score, pleural sliding score, combined pleural-lung ultrasound score and laboratory test results were compared between groups. Binary logistic regression analysis was used to investigate the independent prognostic predictors. Receiver operating characteristic (ROC) curves were plotted, and the area under the curves (AUC) were calculated to evaluate the predictive performance of the above independent predictors alone and their combination. Results In poor prognosis group, lung ultrasound score, pleural sign score and pleural sliding score, as well as neutrophil percentage (NEUT%), procalcitonin (PCT), C-reactive protein (CRP) and serum amyloid A (SAA) were all higher, while percentage of lymphocytes (LYM%), partial pressure of oxygen (PaO2) and oxygenation index were all lower than those in good prognosis group (all P＜0.05). Pleural sliding score, lung ultrasound score and PCT were all independent prognostic predictors (all P＜0.05). AUC of pleural sliding score, lung ultrasound score and PCT alone for predicting prognosis of respiratory failure caused by pneumonia was 0.799, 0.788 and 0.633, respectively, of their combination was 0.867. Conclusion The combination of pleural and lung ultrasound scores with laboratory indicators had good value for predicting prognosis of respiratory failure caused by pneumonia. |
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