摘要
目的探讨振动反应成像对妊娠期呼吸系统感染治疗效果的评估价值。方法回顾性分析2015年2月-2016年8月在山东省交通医院院接受检查和治疗的妊娠期呼吸系统感染患者的临床资料。根据其病情分为急性上呼吸道感染组、急性支气管-气管炎组和急性肺炎组。观察3组患者治疗前后振动反应成像、炎症细胞因子水平的差异,分析振动反应成像与炎症细胞因子水平的相关性。结果治疗后,3组患者的能量最大值较治疗前增加,曲线观察、动态图像观察、图像发生发展、双肺出现同步性、MEF和QLD值较治疗前降低,而急性上呼吸道感染和急性支气管-气管炎患者的啰音较治疗前无差别,急性肺炎患者的啰音较治疗前降低;治疗后,3组患者的IL-6、IL-8、hs-CRP和TNF-α均较治疗前降低;妊娠期呼吸系统感染患者振动反应成像的曲线观察、动态图像观察、图像发生发展、双肺出现同步性、MEF、QLD值与炎症因子正相关,而能量最大值与炎症因子水平负相关。结论振动反应成像MEF、QLD值等的变化对妊娠期呼吸系统感染的治疗效果有较好的评估价值,可作为临床监测的重要指标。
Objective To explore the evaluation value of vibration response imaging for therapeutic effectiveness of respiratory tract infection during pregnancy. Methods The clinical data of patients with respiratory tract infection during pregnancy who were examined and treated in the hospital from February 2015 to August 2016 were retrospectively analyzed. According to condition of the patients, they were divided into acute upper respiratory tract infection group, acute bronchitis-trachitis group, and acute pneumonia group. The differences of vibration response imaging and inflammatory cytokine levels among the 3 groups were observed before and after treatment, and the correlations between vibration response imaging and the levels of inflammatory cytokines were analyzed. Results After treatment, the maximum energy values in the 3 groups increased compared with before treatment, and the curve observation, dynamic image observation, image development, dual lung synchrony, MEF and QLD values were lower than those before treatment. Compared with before treatment, there was no difference in rales between patients with acute upper respiratory tract infection and patients with acute bronchitis-trachitis, and the rales of patients with acute pneumonia was lower. After treatment, IL-6, IL-8, hypersensitive C-reactive protein （hs-CRP）, and tumor necrosis factor-α （TNF -α） in the three groups were significantly lower than those before treatment. The curve observation, dynamic image observation, image development, dual lung synchrony, MEF and QLD values were positively correlated with inflammatory cytokines in patients with respiratory tract infection during pregnancy, and the value of maximum energy was negatively correlated with the levels of inflammatory cytokines. Conclusion The changes of vibration response imaging MEF and QLD values have good evaluation value for therapeutic effect of respiratory tract infection during pregnancy, which can be used as important indicators of clinical monitoring.
出处
《中国妇幼保健》
CAS
2017年第19期4854-4857,共4页
Maternal and Child Health Care of China
关键词
振动反应成像
炎症因子
相关性
MEF
Vibration response imaging
Inflammatory eytokine
Correlation
MEF
