摘要【目的】探讨肺部超声检查联合肺部超声评分对新生儿呼吸窘迫综合征(NRDS)病情严重程度的评估价值。【方法】选取2020年1月至2023年12月本院收治的68例NRDS新生儿作为观察组,同时选取同期在本院诊治的其他常见肺部疾病的42例新生儿作为对照组。比较两组肺部超声特征检出率、肺部超声评分;采用受试者工作特征(ROC)曲线分析肺部超声检查联合肺部超声评分对新生儿NRDS病情严重程度的评估价值。【结果】观察组双肺点、孤立 B 线检出率低于对照组,胸膜线异常、融合B线、弥漫性B线、肺实变、支气管充气征的检出率高于对照组,差异有统计学意义(P<0.05);观察组左肺、右肺、双肺、双侧肺、双肺底的肺部超声评分高于对照组,差异有统计学意义(P<0.05);ROC曲线分析结果显示:肺部超声检查联合肺部超声评分诊断新生儿NRDS病情严重程度的灵敏度、特异度分别为95.6%、97.6%,曲线下面积(AUC)为0.977。【结论】肺部超声检查联合肺部超声评分对新生儿NRDS病情严重程度的评估价值较高,具有较高的灵敏度和特异度,在临床中具有重要的应用价值。
Abstract：【Objective】To evaluate the severity of neonatal respiratory distress syndrome (NRDS) by pulmonary ultrasonography combined with pulmonary ultrasonography score. 【Methods】A total of 68 newborns with NRDS admitted to our hospital from January 2020 to December 2023 were selected as the observation group, while 42 newborns with other common lung diseases treated in our hospital during the same period were selected as the control group. The detection rate of lung ultrasound features and lung ultrasound score were compared between the two groups. Receiver operating characteristic (ROC) curve was used to analyze the value of lung ultrasound combined with lung ultrasound score in evaluating the severity of neonatal NRDS. 【Results】The detection rates of double lung points and isolated B line in the observation group were lower than those in the control group, but the detection rates of abnormal pleural line, fusion B line, diffuse B line, lung consolidation and pneumobronchial sign were higher than those in the control group, with statistical significance (P<0.05). The ultrasound scores of left lung, right lung, double lung, bilateral lung and double lung base in the observation group were higher than those in control group, and the difference was statistically significant (P<0.05). ROC curve analysis results showed that the sensitivity and specificity of lung ultrasound combined with lung ultrasound score in diagnosing the severity of neonatal NRDS were 95.6% and 97.6%, respectively, and the area under ROC curve (AUC) was 0.977. 【Conclusion】Pulmonary ultrasound combined with pulmonary ultrasound score has a high value in evaluating the severity of neonatal NRDS, with high sensitivity and specificity, and has important clinical application value.
朱峰, 王彩玲, 位得全. 肺部超声检查联合肺部超声评分对新生儿NRDS病情严重程度的评估价值[J]. 医学临床研究, 2024, 41(12): 1886-1888.
ZHU Feng, WANG Cailing, WEI Dequan. Evaluation Value of Pulmonary Ultrasonography Combined with Pulmonary Ultrasonography Score on the Severity of Neonatal NRDS. JOURNAL OF CLINICAL RESEARCH, 2024, 41(12): 1886-1888.
2024, Vol. 41 
