摘要
目的:探讨急诊科采用床旁肺部超声对急性呼吸困难患者进行筛查的效果。方法:选取2019年8月至2020年6月因急性呼吸困难来本院急诊科就诊的100例患者为研究对象,采用随机数字表法分为试验组和对照组,试验组采用床旁肺部超声BLUE方案筛查,对照组采用传统的心电图、血液生化、胸片、胸部CT等检查,对比两组的灵敏度、特异度、阳性似然比、阴性似然比、约登指数、检查耗时及检查费用等指标,以评价两组急性呼吸困难患者的筛查效果。结果:试验组的灵敏度、特异度、阳性似然比及约登指数要高于对照组,试验组的阴性似然比要低于对照组;试验组的检查耗时短于对照组,试验组的检查费用少于对照组(P<0.05)。结论:在急诊科中采用床旁超声可以对急性呼吸困难患者进行快速而又准确的筛查。
Objective:To explore the effect of using bedside lung ultrasound to screen patients with acute dyspnea in the emergency department.Methods:100 patients who came to the emergency department of our hospital for acute dyspnea from August 2019 to June 2020 were selected as the research object.They were divided into test group and control group using random number table method.The test group used bedside lungs ultrasound BLUE screening,the control group used traditional electrocardiogram,blood biochemistry,chest radiography,etc.The sensitivity,specificity,positive likelihood ratio,negative likelihood ratio,Yoden index,inspection time and inspection cost of the two groups were compared to evaluate the screening effect of two groups of patients with acute dyspnea.Results:The sensitivity,specificity,positive likelihood ratio and Yoden index of the test group were higher than that of the control group,and the negative likelihood ratio of the test group was lower than that of the control group.The test group took less time to check than the control group,and inspection costs were less than the control group(P<0.05).Conclusion:In the emergency department,the use of bedside ultrasound can quickly and accurately screen patients with acute dyspnea.
作者
郑宏
俞飞勇
陈美宇
王苏芳
李健
叶宁
ZHENG Hong;YU Feiyong;CHEN Meiyu(Emergency Department,The Affiliated Hospital of Guilin Medical University,Guilin 541001,China)
出处
《华夏医学》
CAS
2020年第5期35-37,共3页
Acta Medicinae Sinica
基金
广西壮族自治区卫生健康委员会科研课题(Z20190554)。
关键词
急诊科
肺部超声
呼吸困难
emergency department
lung ultrasound
dyspnea
