肺部彩色多普勒超声在小儿肺炎临床治疗中的应用价值

Application value of pulmonary color Doppler ultrasound in the clinical treatment of pediatric pneumonia

目的 探讨肺部彩色多普勒超声在评估小儿肺炎临床治疗中的应用价值。方法 选取2021年6月至2022年6月在该院就诊的以肺炎为诊断入院的80例患儿为研究对象,根据患儿住院期间的影像学检查分为超声组(44例)和X线组(36例),2组同时给予布地奈德混悬液雾化吸入治疗;以临床最终诊断为“金标准”,对比2组患儿的诊断结果、临床疗效、临床症状消失时间、住院时间及不良反应发生情况。结果 超声组患儿肺炎检出率[72.72%(32/44)]与X线组[55.56%(20/36)]比较,差异无统计学意义(P>0.05)。超声组诊断准确性(90.91%)、灵敏度(93.75%)明显高于X线组(61.11%、60.00%),差异有统计学意义(P<0.01);而超声组特异度(83.33%)与X线组(66.67%)比较,差异无统计学意义(P>0.05)。超声组总有效率(81.81%)优于X线组(61.11%),差异有统计学意义(P<0.05)。超声组患儿咳嗽消失时间[(4.69±0.79)d]、肺部啰音消失时间[(4.28±0.69)d]、发热消失时间[(1.78±0.95)d]与X线组[(5.63±1.07)、(4.93±0.73)、(2.83±1.20)d]比较,差异均有统计学意义(P<0.01)。2组患儿住院时间比较,差异无统计学意义[(7.02±1.19)d vs.(7.61±1.60)d,P>0.05]。2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论 肺部彩色多普勒超声对小儿肺炎的诊断价值较X线检查更高,且对于小儿来说更具安全性及可反复操作性,能够更好地监测患儿的病情发展情况,为临床疾病的确诊、治疗等提供依据。

Objective To explore the application value of pulmonary color Doppler ultrasound in the clinical treatment of pediatric pneumonia.Methods A total of 80 children with pneumonia admitted to the hospital from June 2021 to June 2022 were selected as the research objects.According to the imaging examination during hospitalization,the children were divided into the ultrasound group(44 cases)and the X-ray group(36 cases),and the two groups were given budesonide atomization inhalation treatment at the same time.Taking the final clinical diagnosis as the“gold standard”,the diagnostic results,clinical efficacy,the disappearance time of clinical symptoms,the length of hospital stay,and the incidence of adverse reactions were compared between the two groups.Results There was no significant difference in the detection rate of pneumonia between the ultrasound group[72.72%(32/44)]and the X-ray group[55.56%(20/36)](P>0.05).The diagnostic accuracy(90.91%)and sensitivity(93.75%)of pulmonary ultrasound were significantly higher than those of the X-ray group(61.11%,60.00%),and the differences were statistically significant(P<0.01).However,the specificity of ultrasound group(83.33%)was not significantly different from that of X-ray group(66.67%)(P>0.05).The total effective rate of the ultrasound group(81.81%)was better than that of the X-ray group(61.11%),and the difference was statistically significant(P<0.05).The disappearance time of cough[(4.69±0.79)d],lung rales[(4.28±0.69)d]and fever[(1.78±0.95)d]in the ultrasound group were compared with those in the X-ray group[(5.63±1.07),(4.93±0.73),(2.83±1.20)d],and the differences were statistically significant(P<0.01).There was no statistical significance in the length of hospital stay between the two groups[(7.02±1.19)d vs.(7.61±1.60)d,P>0.05].There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Pulmonary color Doppler ultrasound has higher diagnostic value for pediatric pneumonia,and it is more safe and repeatable for childr en.It can better monitor the development of the disease in children,and provide evidence for the diagnosis and treatment of clinical diseases.