高频肺部超声评分对新生儿呼吸窘迫综合征预后的预测分析

doi:10.7517/issn.1674-0475.220313

摘要/Abstract

摘要： 本文探讨在新生儿呼吸窘迫综合征中高频肺部超声评分预测预后的价值。选取呼吸窘迫综合征新生儿91例（观察组）和非肺部疾病新生儿80例（对照组）。分析两组超声征象、肺部超声评分等。结果显示，肺实变、胸膜线异常等超声征象比例及肺部超声评分比较，观察组高于对照组（P<0.05），血气氧合指数比较，观察组明显低于对照组（P<0.05）。超声评分与血气氧合指数、新生儿危重病例评分呈负相关（P<0.05）。肺部超声评分预测患儿死亡的ROC曲线下面积为0.872，P<0.05。肺部超声评分与新生儿呼吸窘迫综合征的病情程度、预后有相关性，在预测预后方面有一定应用价值。

关键词: 肺部超声评分, 新生儿呼吸窘迫综合征, 预后, 预测

Abstract: The purpose of this study was to investigate the prognostic value of high frequency pulmonary ultrasound score in neonatal respiratory distress syndrome. Ninety-one newborns with respiratory distress syndrome (observation group) and 80 newborns with non pulmonary diseases (control group) were selected. Result display, the differences of ultrasonic signs, pulmonary ultrasonic score and blood gas oxygenation index and so on between the two groups were analyzed. The proportion of consolidation of lung and pleural line abnormal ultrasonic signs, pulmonary ultrasound score:the observation group was higher than that in the control group (P<0.05). The blood gas oxygenation index:the observation group was lower than that of the control group (P<0.05). Ultrasound score was negatively correlated with blood gas oxygenation index and neonatal critical case score (P<0.05). The ROC curve of pulmonary ultrasound score in predicting the death was 0.872, P<0.05. Pulmonary ultrasound score is correlated with the severity and prognosis of neonatal respiratory distress syndrome, and it has certain application value in predicting the prognosis.

Key words: pulmonary ultrasound score, respiratory distress syndrome of newborn, prognosis, predicting

郭建康, 张彬, 梁优. 高频肺部超声评分对新生儿呼吸窘迫综合征预后的预测分析[J]. 影像科学与光化学, 2022, 40(5): 1123-1127.

GUO Jiankang, ZHANG Bin, LIANG You. Predictive Analysis of High-frequency Pulmonary Ultrasound Score for Prognosis of Neonatal Respiratory Distress Syndrome[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(5): 1123-1127.

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