肺超声评分对新生儿呼吸窘迫综合征诊断价值的研究  

The application of ultrasonography scores in neonatal respiratory distress syndrome

作　　者：唐菊[1] 陈文娟[1] 周梦洁[1] 刘雁 张号绒[1] 彭颖慧[1] 杨柳[1] 

机构地区：[1]南华大学儿科学院湖南省儿童医院,湖南长沙410007 [2]贵阳市儿童医院,贵州贵阳550003

出　　处：《中国临床医学影像杂志》2016年第4期263-266,共4页Journal of China Clinic Medical Imaging

基　　金：湖南省社发领域科技支撑计划2015SK2019

摘　　要：目的:探讨双肺12区肺超声评分法在评价新生儿呼吸窘迫综合征(Neonatal respiratory distress syndrome,NRDS)严重程度中的价值。方法:通过高频超声对临床及X线确诊的60例NRDS患儿进行肺部扫查,分析肺超声影像学特点,探讨双肺12区超声B-线评分、经腹超声分级与X线分级之间的相关性。结果:双肺12区超声评分与X线分级呈显著负相关(r=-0.771,P<0.01),经腹肺超声分级与X线分级呈正相关(r=0.636,P<0.01)。X线分级多组间超声评分差异有统计学意义(F=30.34,P<0.001),Ⅰ级与Ⅱ级、Ⅱ级与Ⅲ级、Ⅲ级与Ⅳ级间超声评分差异均有统计学意义(P<0.05)。结论 :双肺12区超声评分法优于经腹超声分级,可作为NRDS患儿早期诊断、病情判断和预后观察的一种有效方法,与X线相比更直观、快速、无辐射。Objective： To investigate the diagnostic value of lung ultrasonography scores for evaluation of the state of neonatal respiratory distress syndrome（NRDS）. Methods： Analysis the characteristics of ultrasonic images and chest radiographs in 60 NRDS. The relationship between the stages of NRDS assessed by ultrasonography scores and chest radiographs were analyzed. Results： There was a significant correlation between the ultrasonography score and the chest radiographs（r=-0.771,P0.01）. The grade of transabdominal lung ultrasound was positively correlated with the grade of X-ray（r=0.636, P0.01）. Ultrasonography scores were significant differences in X-ray grade（F=30.34, P0.001）. Conclusion： The ultrasonography score can be used as an effective method for early diagnosis, condition assessment and prognosis of NRDS, and it is more direct, fast and without radiation compared with X-ray.

关 键 词：呼吸窘迫综合征 新生儿 超声检查 

分 类 号：R722.19[医药卫生—儿科] R445.1[医药卫生—临床医学]