超声诊断新生儿呼吸窘迫综合征的临床价值探讨

Clinical value of ultrasound in diagnosis of neonatal respiratory distress syndrome

目的探讨超声检查对新生儿呼吸窘迫综合征患儿的诊断价值。方法回顾性分析2015年7月~2017年10月在我院治疗的96例新生儿呼吸窘迫综合征的临床资料,根据胸部X线检查结果,将患儿划分为轻症组(55例)与重症组(41例)。所有患儿均需在治疗前、治疗后12h、治疗后24h接受超声检查,比较两组超声检查结果、超声评分。结果轻症组超声评分低于重症组,差异有统计学意义(P<0.05);治疗前,各组PS治疗与非PS治疗患儿的超声评分对比,差异无统计学意义(P>0.05);治疗后各时间段,各组非PS治疗患儿的超声评分均高于PS治疗,差异有统计学意义(P<0.05)。结论超声检查可有效对新生儿呼吸窘迫综合征患儿病情程度做出有效评价,此外,超声检查评分可作为评价患儿病情以及量化病情的重要指标。

Objective To explore the diagnostic value of ultrasound in neonatal respiratory distress syndrome.Methods The clinical data of 96 cases of neonatal respiratory distress syndrome treated in our hospital from July 2015 to October 2017 were retrospectively analyzed.According to the results of chest X-ray examination,the patients were divided into mild group(55 cases)and severe group(41 cases).All children were required to undergo ultrasound examination before treatment,12 hours after treatment and 24 hours after treatment.The ultrasound findings and ultrasound scores were compared between the two groups.Results The ultrasound score in mild group was lower than that in severe group(P<0.05);there was no significant difference in ultrasound score between PS treatment group and non-PS treatment group before treatment(P>0.05);the ultrasound score of non-PS treatment group was higher than that of PS treatment at each time after treatment(P<0.05).Conclusion Ultrasound can effectively evaluate the severity of neonatal respiratory distress syndrome.In addition,ultrasound score can be used as an important index for evaluating and quantifying the severity of neonatal respiratory distress syndrome.