| 摘要: |
| 目的：探讨肺部超声技术对新生儿暂时性呼吸困难(Transient tachypnea of the newborn,TTN)的早期诊断价值。方法：选择2019年4月至2019年12月期间本院广州市花都区人民医院新生儿科收治的呼吸困难新生儿80例,根据临床诊断结果将新生儿分为TTN组(n=57)和呼吸窘迫综合征(Respiratory distress syndrome,RDS)组(n=23),两组均进行肺部超声和胸片检查。结果：TTN组和RDS组胸膜线异常、白肺征、双肺点、AIS和肺实变所占比例比较差异无统计学意义(P>0.05)。以临床诊断作为金标准,肺部超声技术诊断TTN的敏感度、特异度、阳性预测值、阴性预测值和准确度分别为94.74%、95.65%、98.18%、88.00%和95.00%；胸片诊断TTN的敏感度、特异度、阳性预测值、阴性预测值和准确度分别为84.21%、82.61%、92.31%、67.86%、83.75%,肺部超声技术诊断TTN的敏感度、特异度、阳性预测值和阴性预测值均高于胸片,但两者比较差异无统计学意义(P>0.05),肺部超声技术诊断TTN的准确度明显高于胸片,两者比较差异具有统计学意义(P<0.05)。结论：肺部超声技术对新生儿TTN的早期诊断价值显著,值得临床推广应用。 |
| 关键词: 肺部超声技术 新生儿暂时性呼吸困难 呼吸窘迫综合征 诊断 |
| DOI： |
| 投稿时间：2020-01-07修订日期：2020-08-16 |
| 基金项目:广州市花都区科技工业商务和信息化局科技计划项目（编号19-HDWS-063 |
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| Early diagnosis value of lung ultrasound for transient tachypnea of the newborn |
| Li Guanghong |
| () |
| Abstract: |
| Objective: To study the early diagnosis value of lung ultrasound for Transient tachypnea of the newborn(TTN).Methods: 80 cases of neonates with dyspnea admitted to neonatology department of Huadu District People Hospital of Guangzhou from April 2019 to December 2019 were selected. According to the clinical diagnosis results, the neonates were divided into TTN group (n=57) and Respiratory distress syndrome (RDS) group (n=23).Results: The proportions of abnormal pleural line, white lung sign, double lung point, AIS and pulmonary consolidation compared between TTN group and RDS group with no statistically significant differences(P>0.05).The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of lung ultrasound in early diagnosis of TTN were respectively94.74%, 95.65%, 98.18%, 88.00% and 95.00% .The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of X-ray in early diagnosis of TTN were respectively 84.21%, 82.61%, 92.31%, 67.86%, 83.75%, the sensitivity , specificity, positive predictive value, negative predictive value of lung ultrasound in early diagnosis of TTN were higher than X-ray, but the difference was no statistically significant (P>0.05),the accuracy of lung ultrasound in early diagnosis of TTN was obviously higher than X-ray, compared with statistically significant differences between both(P<0.05).Conclusion:Early diagnosis value of lung ultrasound for neonatal TTN is significant,it is worthy of clinical application. |
| Key words: Lung ultrasound technology, Transient tachypnea of the newborn, Respiratory distress syndrome, Diagnosis |
