Predictive Analysis of High-frequency Pulmonary Ultrasound Score for Prognosis of Neonatal Respiratory Distress Syndrome

doi:10.7517/issn.1674-0475.220313

Abstract

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

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.

References

[1] 赵蒙. 床旁肺超声评分在新生儿呼吸窘迫综合征中的应用[J]. 安徽医药, 2020, 24(1):150-152.
[2] Viswan A, Ghosh P, Gupta D, et al. Distinct metabolic endotype mirroring acute respiratory distress syndrome (ARDS) subphenotype and its heterogeneous biology[J]. Scientific Reports, 2019, 9(1):2108.
[3] 程远. 肺超声评分评估新生儿呼吸窘迫综合征的临床价值[J]. 临床超声医学杂志, 2020, 22(5):382-384.
[4] 邵肖梅, 叶鸿瑁, 丘小汕. 实用新生儿学[M]. 4版. 北京:人民卫生出版社, 2011.
[5] 李莲花, 杨倩, 李黎明, 等. 肺部超声评分评估急性呼吸窘迫综合征患者病情严重程度及预后的价值[J]. 中华危重病急救医学, 2015, 27(7):579-584.
[6] 向二英, 田鹏, 余新华. 新生儿危重病例评分法在新生儿科的临床应用[J]. 湖北民族学院学报(医学版), 2013, 30(1):52-53.
[7] 刘雅菲, 陈林, 周小桢, 等. 肺脏超声对新生儿呼吸窘迫综合征的诊断价值及肺超声评分的评估价值分析[J]. 现代生物医学进展, 2019, 19(9):1770-1773.
[8] Sinha P, Calfee C S. Phenotypes in acute respiratory distress syndrome:Moving towards precision medicine[J]. Current Opinion in Critical Care, 2019, 25(1):12-20.
[9] 王春梅, 程瑞洪, 赵银花, 等. 肺部超声评分在急性呼吸窘迫综合征患者预后及病情严重程度中的评估价值[J]. 医学临床研究, 2020, 37(4):506-508.
[10] 张磊, 俞万钧, 周成杰, 等. 肺部超声评估急性呼吸窘迫综合征患者血管外肺水及预后的临床应用价值[J]. 中华危重病急救医学, 2020, 32(5):585-589.
[11] Quarato CM I, Pianella V, Sperandeo M. Transthoracic ultrasound in neonatal respiratory distress syndrome (NRDS):Complementary diagnostic tool[J]. European Journal of Radiology, 2019, 120(13):108664.
[12] 江秋霞, 吕国荣, 李晓庆, 等. 肺部超声新评分法评估新生儿呼吸窘迫综合征肺泡表面活性物质的疗效[J]. 中国医学影像学杂志, 2021, 29(5):464-468.
[13] Nair A B, Cohen M J, Flori H R. Clinical characteristics, major morbidity, and mortality in trauma-related pediatric acute respiratory distress syndrome[J]. Pediatric Critical Care Medicine, 2020, 21(2):122-128.
[14] 吴碧君, 游楚明, 梁振宇, 等. 肺超声评分在新生儿呼吸窘迫综合征机械通气撤离中的应用[J]. 中国医学影像学杂志, 2021, 29(3):224-228.
[15] 罗艺, 向君彦. 肺超声评分对不同胎龄新生儿呼吸窘迫综合征的临床应用价值[J]. 重庆医学, 2019, 48(14):2494-2496.
[16] 付立红. 高频超声在眼外伤诊断中的应用研究[J]. 现代医用影像学, 2017, 26(2):511-513.
[17] 王雪, 杨茹茜, 杨雨婷, 等. 20 MHz高频超声对不同类型皮肤瘢痕的诊断价值[J]. 第三军医大学学报, 2020, 42(3):282-287.