糖皮质激素治疗特发性间质性肺炎后经高分辨率CT半定量分值判断其近期疗效的临床分析

Clinical analysis of high resolution CT semi quantitative evaluation of glucocorticoid in the treatment of idiopathic interstitial pneumonia

目的探讨高分辨率CT半定量分值对特发性间质性肺炎患者应用糖皮质激素治疗的近期疗效判断效果。方法32例特发性间质性肺炎患者均接受常规治疗联合糖皮质激素，利用高分辨率CT半定量分值检查对其近期疗效给予准确判断。结果经分析可知高分辨率CT半定量分值在20%以下的特发性间质性肺炎患者住院期间病死率为5.26%，而经高分辨率CT半定量分值在20%及以上的患者住院期间病死率高达38.46%，数据对比差异具有统计学意义（P<0.05）。结论应用高分辨率CT半定量分值可对接受糖皮质激素治疗的特发性间质性肺炎患者近期疗效给予准确判断，对医师制定今后药物治疗方案并保障其预后具有积极意义。

Objective To evaluate the short-term effect of glucocorticoid therapy in patients with idiopathic interstitial pneumonia by highresolution CT semi quantitative score.Methods32cases of idiopathic interstitial pneumonia were treated with conventional treatment,combinedwith glucocorticoids,the use of high resolution CT semi quantitative score,the short-term efficacy of its accurate judgement.Results The analysisshows that high resolution CT semi quantitative score below20%idiopathic interstitial pneumonia patients with hospital mortality period is only5.26%,and the high resolution CT semi quantitative score during the high fatality rate of38.46%hospitalized patients with20.00%or more,thedifference was statistically significant(P<0.05).Conclusion The application of high resolution CT semi quantitative score of received corticosteroidtherapy for idiopathic interstitial pneumonia patients with curative effect to give accurate judgment to the doctor for the future development of drugtreatment and guarantee its prognosis are of positive significance.