摘要
目的:探究心肺联合超声对新生儿呼吸窘迫综合征(NRDS)的早期诊断价值。方法:将2019年3月-2022年10月于九江市妇幼保健院出生6 h内出现呼吸急促的113例疑似NRDS新生儿作为研究对象,所有患儿接受肺部超声检查、心脏超声检查,以临床最终诊断作为金标准,分析心肺联合超声在NRDS早期诊断中的价值。结果:113例患儿中有79例患儿确诊为NRDS,心肺联合超声早期诊断NRDS的敏感度、准确度及阴性预测值均显著高于X线检查(P<0.05);重度NRDS患儿肺动脉收缩压(sPAP)显著高于中度、轻度患儿,中度患儿sPAP高于轻度患儿(P<0.05)。结论:心肺联合超声在NRDS早期诊断中具有较高的敏感度、准确度及阴性预测值,且心肺超声联合检测还可为NRDS病情严重程度的评估提供依据。
Objective:To explore the early diagnostic value of cardiopulmonary ultrasound in neonatal respiratory distress syndrome(NRDS).Method:A total of 113 newborns with tachypnea and suspected NRDS within 6 h after birth in Jiujiang Maternal and Child Health Hospital from March 2019 to October 2022 were selected as the research subjects.All the children underwent pulmonary ultrasound and cardiac ultrasound.With the final clinical diagnosis as the gold standard,the value of cardiopulmonary ultrasound in the early diagnosis of NRDS was analyzed.Result:Among 113 children,79 children were diagnosed as NRDS.The sensitivity,accuracy and negative predictive value of cardiopulmonary ultrasound in the early diagnosis of NRDS were significantly higher than those in X-ray examination(P<0.05).The systolic pulmonary artery pressure(sPAP)of severe NRDS children was significantly higher than those of moderate and mild children,and the sPAP of moderate children was higher than that of mild children(P<0.05).Conclusion:Cardiopulmonary ultrasound has high sensitivity,accuracy and negative predictive value in the early diagnosis of NRDS,and cardiopulmonary ultrasound can also provide the basis for the assessment of the severity of NRDS.
作者
张茜
程琳
宁洁
陈坚
江楠
HANG Qian;CHENG Lin;NING Jie;CHEN Jian;JIANG Nan(Jiujiang Maternal and Child Health Hospital,Jiangxi Province,Jiujiang 332000,China)
出处
《中国医学创新》
CAS
2023年第17期128-131,共4页
Medical Innovation of China
基金
九江市重点研发计划-指导性计划项目(S2022ZDYFN333)。
