超声评分法对新生儿呼吸窘迫综合征诊断

Ultrasonic Scoring in the Diagnosis of Neonatal Respiratory Distress Syndrome

目的探究超声评分法对新生儿呼吸窘迫综合征的诊断价值。方法选择巩义市人民医院2021年6月至2022年6月期间接诊的60例新生儿呼吸窘迫综合征开展研究,设为A组,另外选择同期58例非新生儿呼吸窘迫综合征为B组,均进行超声评分法,比较两组超声评分、超声影像学特征表现,以及A组不同X线分级的超声评分,在此基础上统计肺部超声评分法对A组的诊断敏感度、特异性。结果A组超声评分法较B组低,对比差异有显著性(P<0.05);A组白肺检出率(48.33%)、B线检出率(100.0%)、AIS检出率(100.0%)、A线异常检出率(100.0%)、胸膜线异常检出率(71.67%)、肺实变检出率(71.67%)较B组(0.00%)、(13.79%)、(0.00%)、(0.00%)、(25.86%)、(8.62%)高,比较差异有显著性(P<0.05);不同X线分级患儿超声评分呈下降趋势发展,差异有统计学意义(P<0.05);A组肺部超声评分ROC曲线分析,Ⅱ级敏感性为81%、特异性为95%;Ⅲ级敏感性为85%、特异性为76%;Ⅳ级敏感性为100%、特异性为67%。结论超声评分法诊断价值较高,可结合新生儿呼吸窘迫综合征患儿超声影像学特征表现,判断病情状况,提高疾病诊断敏感性及特异性,为后续治疗提供依据,值得优选。

Objective To explore the diagnostic value of ultrasound scoring in neonatal respiratory distress syndrome.Methods 60 cases of neonatal respiratory distress syndrome received by Gongyi people's Hospital from June 2021 to June 2022 were selected for study.They were set as group A,and 58 cases of non neonatal respiratory distress syndrome in the same period were selected as group B.ultrasonic scoring method was used to compare the ultrasonic scores,ultrasonic imaging characteristics,and ultrasonic scores of different X-ray grades in group A.on this basis,the diagnostic sensitivity of pulmonary ultrasonic scoring method to group A was counted Specificity.Results the ultrasonic scoring method of group A was lower than that of group B,and the comparative difference was significant(P<0.05);The detection rates of white lung(48.33%),B-line(100.0%),AIS(100.0%),A-line abnormality(100.0%),pleural line abnormality(71.67%),lung consolidation(71.67%)in group A were higher than those in group B(0.00%),13.79%,0.00%,0.00%,25.86%and 8.62%,with significant differences(P<0.05);The ultrasonic scores of children with different X-ray grades showed a downward trend,and the difference was statistically significant(P<0.05);The ROC curve analysis of lung ultrasound score in group A showed that the sensitivity of grade II was 81%and the specificity was 95%;The sensitivity and specificity of grade III were 85%and 76%,respectively;The sensitivity of grade IV was 100%,and the specificity was 67%.Conclusion ultrasound scoring method has high diagnostic value.It can be combined with the ultrasonic imaging characteristics of children with neonatal respiratory distress syndrome to judge the condition,improve the sensitivity and specificity of disease diagnosis,and provide basis for follow-up treatment,which is worth optimizing.