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肺超声在分析早产儿早期肺部疾病状态中的应用价值 |
马荣川,金梅 |
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(成都市妇女儿童中心医院) |
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摘要: |
目的 探讨肺超声(Lung ultrasound, LUS)在分析早产儿出生早期肺部疾病状态中的应用价值。方法 收集我院2018年5月-2019年4月行肺超声检查符合入组条件的低体重早产儿59 例。按照指南推荐,将肺部分为12区,于患儿出生72小时内,应用超声高频探头对早产儿肺部各区进行逐一扫查并进行超声肺部通气评分,以观察患儿肺部超声表现特点,评估患儿肺部疾病状态,并判断评估超声改变与出生胎龄、体重的相关关系。结果 1.不同区域超声肺部通气评分比较:左、右肺部和上、下肺部评分差异无统计学意义(p>0.05);后肺部超声肺部通气评分较前肺部增高,差异具有统计学意义(p<0.05)。2.超声肺部通气评分与出生胎龄及体重关联性分析:超声肺部通气评分总分与出生胎龄具有显著相关关系(r=-0.62,p<0.01),与出生体重具有相关性(r=-0.33,p=0.011)。结论 肺超声可早期快速准确地评估低体重早产儿肺部疾病状态,指导临床早期干预治疗。出生胎龄及体重是预示早产儿肺部疾病严重程度的重要因素。 |
关键词: 肺超声,早产儿,超声肺部通气评分 |
DOI: |
投稿时间:2020-05-07修订日期:2020-05-28 |
基金项目: |
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The application value of Lung ultrasound in performing the premature infant with lung disease at early stage after born |
marongchuan,jinmei |
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Abstract: |
Objective To analyze the application value of lung ultrasound(LUS) in premature infant with lung disease at early stage after born. Methods Totally 59 premature infants according to the inclusion criteria were performed LUS. According to the guideline, we divide the lung field into 12 subregions. The all subregions of premature infants were performed by LUS one by one within 72 hours after been born, and scored each lung subregion, detect the pulmonary disease characteristic and status, estimate the relation between abnormal LUS and gestational age, birth weight. Results 1.Compared the lung ultrasound scores of different subregion: there were no significant statistical difference of lung ultrasound scores between left lung and right, upper lung and lower lung(p>0.05).The significant statistical difference of lung ultrasound scores were existed in anterior lung and posterior lung(p<0.05). 2. Relation between lung ultrasound scores and gestational age, birth weight: there were negative correlation between the total lung ultrasound scores and gestational age(r=-0.62,p<0.01), birth weight(r=-0.33,p=0.011). Conclusion The LUS could be used to early, rapidly and accurately estimate the lung disease status of low weight premature infant, further direct the clinical treatment timely. The gestational age and birth weight were the important predictors for the severity of lung disease of premature infants. |
Key words: lung ultrasound, premature infant, lung ultrasound score |
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