肺部超声联合C反应蛋白对孕晚期产妇肺炎的诊断效能  

The Diagnostic Efficacy of Pulmonary Ultrasound Combined with C-reactive Protein in Pregnant Women with Pneumonia

作　　者：郭水连 王桂臣 张洪梅[1] 耿志君[2] GUO Shuilian;WANG Guichen;ZHANG Hongmei;GENG Zhijun(Department of Internal Medicine,Weifang Maternal and Child Health Hospital,Weifang,Shandong 261000,China;Department of Ultrasound,Weifang Maternal and Child Health Hospital,Weifang,Shandong 261000,China)

机构地区：[1]潍坊市妇幼保健院内科,山东潍坊261000 [2]潍坊市妇幼保健院超声科,山东潍坊261000

出　　处：《中国医药指南》2025年第11期106-108,共3页Guide of China Medicine

摘　　要：目的研究肺部超声联合C反应蛋白(CRP)对孕妇肺炎的诊断效能。方法选取2022年4月至2024年4月于潍坊市妇幼保健院内科住院疑似肺炎的孕晚期产妇120例,均给予肺部CT、肺部超声、血清CRP水平检查,以临床综合诊断结果为金标准,分为肺炎组和非肺炎组,比较两组肺部超声特征及血清CRP水平,并经ROC曲线分析肺部超声联合血清CRP的诊断效能。结果肺炎组的肺泡间质综合征、肺实变、胸膜线异常、支气管征、胸腔积液及血清CRP水平均高于非肺炎组(P<0.05)。肺部超声联合血清CRP诊断孕妇肺炎的ROC曲线下面积、敏感度、特异度均高于单项检查(P<0.05)。结论肺部超声联合血清CRP可提高孕妇肺炎的诊断效能。Objective To investigate the diagnostic value of pulmonary ultrasound(LUS)combined with C-reactive protein(CRP)in pregnant women with pneumonia.Methods A total of 120 late pregnant women suspected of pneumonia who were hospitalized in our hospital from April 2022 to April 2024 were selected.They were all given pulmonary CT,pulmonary ultrasound,and serum CRP level examinations.Using clinical comprehensive diagnostic results as the gold standard and divided into pneumonia group and non pneumonia group.The pulmonary ultrasound characteristics and serum CRP levels of the two groups were compared,and the diagnostic efficacy of pulmonary ultrasound combined with serum CRP was analyzed using ROC curve.Results The pulmonary interstitial syndrome,pulmonary consolidation,pleural abnormalities,bronchial signs,pleural effusion,and serum CRP levels in the pneumonia group were higher than those in the non CAP group,and the differences were statistically significant(P<0.05).The area under the ROC curve,sensitivity,and specificity of pulmonary ultrasound combined with serum CRP in diagnosing pregnant women with pneumonia were higher than those of single examination,and the differences were statistically significant(P<0.05).Conclusions The combination of pulmonary ultrasound and serum CRP can improve the diagnostic efficiency of pregnant women with pneumonia and is worthy of clinical promotion.

关 键 词：肺炎 肺部超声 C反应蛋白 晚孕期 

分 类 号：R714.253[医药卫生—妇产科学]