摘要
Abstract
Objective To investigate the lung ultrasound and X-ray in neonatal respiratory distress syn-drome(NRDS)diagnostic value.Methods A total of 198 newborns admitted to the NICU with RDS symp-toms from January 2016 to June 2017 were selected as the research objects,the lung ultrasound and X-ray ex-amination were conducted in all neonates,with the clinical diagnosis as the gold standard.A comparison of two methods in diagnosis of NRDS and clinical diagnosis results according to the diagnostic rate,specificity,sensi-tivity,positive predictive value,negative predictive value was conducted.Results A total of 198 cases of pa-tients,clinical final diagnosis of 132 NRDS patients,diagnosed as neonatal transient tachypnea in 42 cases,14 cases of neonatal pneumonia,other 10 cases;X-ray diagnosis of 120 cases of children with NRDS;lung ultra-sound diagnosis of 129 cases of NRDS patients with pulmonary;rate of ultrasonic diagnosis and clinical diagno-sis of NRDS the specificity,sensitivity,negative predictive value was significantly higher than that of X-ray (P<0.05),two positive predictive value of the diagnosis of NRDS had no significant difference compared(P>0.05).Conclusion The diagnostic accuracy specificity,sensitivity and negative predictive value of lung ultra-sound in children with NRDS are higher than those of X-ray.It is worthy of clinical application.关键词
新生儿呼吸窘迫综合征/肺部超声/X线/诊断价值Key words
neonatal respiratory distress syndrome/lung ultrasound/X-ray/diagnostic value分类
医药卫生