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Evaluation Value of Pulmonary Ultrasonography Combined with Pulmonary Ultrasonography Score on the Severity of Neonatal NRDS |
ZHU Feng, WANG Cailing, WEI Dequan |
Department of Ultrasound ,Jiaozuo Maternal and Child Healthcare Hospital, Jiaozuo Henan 454000 |
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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.
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Received: 06 September 2024
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