肺损伤超声评分在急性呼吸窘迫综合征患者中的临床应用(1)
[摘要] 目的 探究急性呼吸窘迫綜合征患者开展肺损伤超声评分应用价值。 方法 方便选取2017年1月—2018年12月该院收治急性呼吸窘迫综合征患者共计120例，依据病情严重程度分为3组，分为轻度组、中度组、重度组，各40例，均采取肺部超声检查、肺部超声评分及超声心动检查，比较检查结果。结果 轻度组APACHE II(14.23±4.12)分、SOFA(13.25±3.24)分、CPIS(5.36±1.12)分、HR(102.72±12.36)次/min低于中度组(16.12±4.23)分、(15.69±3.45)分、(5.98±1.36)分、(110.65±13.65)次/min和重度组(19.69±4.26)分、(18.96±4.10)分、(6.41±2.04)分、(116.69±14.65)次/min，差异有统计学意义(F=17.400、25.120、4.600、10.640，P<0.05)。LVEF高于中度组、重度组，3组差异有统计学意义(P<0.05)。轻度组LUS评分(9.12±1.74)分显著低于中度组(14.65±2.65)分、高度组(23.65±4.15)分，3组差异有统计学意义(F=236.650，P<0.05)。结论 急性呼吸窘迫综合征患者予以肺损伤超声评分，能评估肺部通气面积变化及病情严重程度，利于临床医师对后续病情判断。
, 百拇医药
[关键词] 肺损伤超声评分;急性呼吸窘迫综合征;临床应用;超声心动检查
[中图分类号] R563.8 [文献标识码] A [文章编号] 1674-0742(2019)11(a)-0187-03
Clinical Application of Ultrasound Score of Lung Injury in Patients with Acute Respiratory Distress Syndrome
LIU Li-long
Department of Critical Care Medicine， Xiamen Hong'ai Hospital， Xiamen， Fujian Province， 361000 China
, 百拇医药
[Abstract] Objective To investigate the value of ultrasound scores in patients with acute respiratory distress syndrome. Methods Convenient selected a total of 120 patients with acute respiratory distress syndrome from January 2017 to December 2018 were enrolled. According to the severity of the disease， they were divided into three groups， which were divided into mild group， moderate group and severe group， each of which was taken in 40 cases. Pulmonary ultrasonography， pulmonary ultrasound scoring and echocardiography were performed to compare the results. Results In the mild group， APACHE II (14.23±4.12)points， SOFA (13.25±3.24) points， CPIS (5.36±1.12) points， HR (102.72±12.36)times/min were lower than the moderate (16.12±4.23) points， (15.69±3.45) points， (5.98±1.36)points， (110.65±13.65)times/min and severe (19.69±4.26) points， (18.96±4.10) points， (6.41±2.04) points， (116.69±14.65)times/min， statistically significant (F=17.400， 25.120， 4.600， 10.640， P<0.05). The LVEF was higher than the moderate group and the severe group， and the difference between the three groups was statistically significant (P<0.05). The LUS score (9.12±1.74) points in the mild group was significantly lower than that in the moderate group (14.65±2.65) points and the high group (23.65±4.15) points. The difference between the three groups was statistically significant (F=236.650， P<0.05). Conclusion Ultrasound scoring of lung injury in patients with acute respiratory distress syndrome can assess the change of lung ventilation area and the severity of the disease， which is helpful for clinicians to judge the follow-up condition., 百拇医药(刘荔龙)
, 百拇医药
[关键词] 肺损伤超声评分;急性呼吸窘迫综合征;临床应用;超声心动检查
[中图分类号] R563.8 [文献标识码] A [文章编号] 1674-0742(2019)11(a)-0187-03
Clinical Application of Ultrasound Score of Lung Injury in Patients with Acute Respiratory Distress Syndrome
LIU Li-long
Department of Critical Care Medicine， Xiamen Hong'ai Hospital， Xiamen， Fujian Province， 361000 China
, 百拇医药
[Abstract] Objective To investigate the value of ultrasound scores in patients with acute respiratory distress syndrome. Methods Convenient selected a total of 120 patients with acute respiratory distress syndrome from January 2017 to December 2018 were enrolled. According to the severity of the disease， they were divided into three groups， which were divided into mild group， moderate group and severe group， each of which was taken in 40 cases. Pulmonary ultrasonography， pulmonary ultrasound scoring and echocardiography were performed to compare the results. Results In the mild group， APACHE II (14.23±4.12)points， SOFA (13.25±3.24) points， CPIS (5.36±1.12) points， HR (102.72±12.36)times/min were lower than the moderate (16.12±4.23) points， (15.69±3.45) points， (5.98±1.36)points， (110.65±13.65)times/min and severe (19.69±4.26) points， (18.96±4.10) points， (6.41±2.04) points， (116.69±14.65)times/min， statistically significant (F=17.400， 25.120， 4.600， 10.640， P<0.05). The LVEF was higher than the moderate group and the severe group， and the difference between the three groups was statistically significant (P<0.05). The LUS score (9.12±1.74) points in the mild group was significantly lower than that in the moderate group (14.65±2.65) points and the high group (23.65±4.15) points. The difference between the three groups was statistically significant (F=236.650， P<0.05). Conclusion Ultrasound scoring of lung injury in patients with acute respiratory distress syndrome can assess the change of lung ventilation area and the severity of the disease， which is helpful for clinicians to judge the follow-up condition., 百拇医药(刘荔龙)