床旁心脏彩超联合栓塞指数对急性肺栓塞诊断中价值研究  

The Value of Bedside Echocardiography Combined with Embolization Index in Diagnosis of Acute Pulmonary Embolism

作　　者：林思煌 LIN Si-huang(The Emergency Department of Quanzhou First Hospital Affiliated to Fujian Medical University,Fujian Quanzhou 362000)

机构地区：[1]福建医科大学附属泉州第一医院急诊科,福建泉州362000

出　　处：《中国医疗器械信息》2022年第20期95-97,共3页China Medical Device Information

摘　　要：目的:研究床旁心脏彩超联合栓塞指数(pul monary arteryobstructionindex,PAOI)对急性肺栓塞的诊断价值。方法:将2019年11月~2020年10月本院收治的70例疑似急性肺栓塞患者纳入观察组,对照组为同期在本院进行健康体检的人员80名,设为对照组,两组均进行床旁心脏彩超,计算PAOI,观察两组的临床表现、诊断结果,计算诊断效能。结果:观察组的各项临床症状比例高于对照组,差异具有统计学意义(P<0.05);床旁心脏彩超联合检查的阳性率为90.00%,高于单一检查,差异具有统计学意义(P<0.05),疑似急性肺栓塞患者中共确诊67例,床旁心脏彩超联合PAOI检出63例,同确诊结果相比的符合率为94.03%;观察组患者治疗后的PAOI评分低于治疗前,床旁心脏彩超+PAOI指数的敏感度、特异度、准确性均高于单一检查,差异具有统计学意义(P<0.05)。结论:床旁心脏彩超联合PAOI应用在急性栓塞诊断中的诊断效能高,且可判断栓塞程度、治疗效果,具有较高的临床价值。Objective:To study the value of bedside color Doppler echocardiography combined with embolization index(PAOI)in the diagnosis of acute pulmonary embolism.Methods:70 patients with suspected acute pulmonary embolism who were admitted to our hospital from November 2019 to October 2020 were included in the observation group.The control group was 80 people who underwent physical examination in our hospital in the same period,and was set as the control group.Bedside cardiac color Doppler ultrasound was performed in both groups to calculate PAOI,observe the clinical performance and diagnostic results of the two groups,and calculate the diagnostic efficacy.Results:The proportion of clinical symptoms in the observation group was higher than that in the control group(P<0.05);The positive rate of bedside cardiac color ultrasound combined examination was 90.00%,higher than that of single examination,and the difference was statistically significant(P<0.05).A total of 67 patients with suspected acute pulmonary embolism were diagnosed,and 63 patients were detected by bedside cardiac color ultrasound combined with PAOI,with a coincidence rate of 94.03%compared with the confirmed results;The PAOI score of patients in the observation group after treatment was lower than that before treatment,and the sensitivity,specificity and accuracy of bedside cardiac color ultrasound+PAOI index were higher than those of single examination,with statistical significance(P<0.05).Conclusion:Bedside color Doppler echocardiography combined with PAOI has high diagnostic efficacy in the diagnosis of acute embolism,and can judge the degree of embolism and the treatment effect,which has high clinical value.

关 键 词：急性肺栓塞 超声检查 栓塞指数 

分 类 号：R445.1[医药卫生—影像医学与核医学]