Huang Lie, Ye Dan, Wang Jianhui
Lie Huang, The First People's Hospital of Yinchuan, Yinchuan, China.
Dan Ye, The First People's Hospital of Yinchuan, Yinchuan, China.
Pak J Med Sci. 2022 May-Jun;38(5):1101-1106. doi: 10.12669/pjms.38.5.5202.
To investigate the diagnostic effect of lung ultrasound on neonatal respiratory distress syndrome (NRDS) and to analyze the clinical application value of pulmonary ultrasound score.
Sixty-five NRDS babies who were diagnosed in our hospital from August 2019 to October 2020 were selected as the observation group, and 65 healthy babies were selected as the control group. Children in the two groups underwent lung ultrasound examination. The characteristic signs of lung ultrasound in the two groups were analyzed, and the detection rate of various signs and lung ultrasound score were compared between the two groups.
The main manifestations of lung ultrasound in NRDS children were pulmonary parenchyma, abnormal pleural line, blurred or disappeared A line, pleural effusion, white lung, and weak or disappeared pulmonary pulsation; the lung ultrasound scores of different positions in the observation group were higher than those in the control group, and the differences were statistically significant (P<0.05). The detection rates of signs such as lung parenchyma, abnormal pleural line, disappeared A line, diffuse pulmonary edema, and air bronchogram in the observation group were significantly higher than that in the control group (P<0.05), and there was no significant difference in the detection rate of the sign of B line existence between the two groups (P>0.05).
Lung ultrasound has a high diagnostic value in diagnosing NRDS, and lung ultrasound score can evaluate the severity of NRDS in babies to further optimize the diagnosis results, which has important clinical significance.
探讨肺部超声对新生儿呼吸窘迫综合征（NRDS）的诊断效果，并分析肺部超声评分的临床应用价值。
选取2019年8月至2020年10月在我院确诊的65例NRDS患儿作为观察组，选取65例健康婴儿作为对照组。对两组患儿进行肺部超声检查。分析两组肺部超声的特征性表现，比较两组各项体征的检出率及肺部超声评分。
NRDS患儿肺部超声的主要表现为肺实质、胸膜线异常、A线模糊或消失、胸腔积液、白肺、肺搏动减弱或消失；观察组不同部位的肺部超声评分高于对照组，差异有统计学意义（P<0.05）。观察组肺实质、胸膜线异常、A线消失、弥漫性肺水肿、空气支气管征等体征的检出率明显高于对照组（P<0.05），两组B线存在体征的检出率差异无统计学意义（P>0.05）。
肺部超声对NRDS的诊断具有较高价值，肺部超声评分可评估患儿NRDS的严重程度，进一步优化诊断结果，具有重要的临床意义。
