Evaluating the treatment outcome of severe pneumonia in children by lung ultrasound(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2022年第9期
- Page:
- 1140-1144
- Research Field:
- 医学影像物理
- Publishing date:
Info
- Title:
- Evaluating the treatment outcome of severe pneumonia in children by lung ultrasound
- Author(s):
- YAO Yiming; ZENG Ping; PENG Huabao; ZHU Weihong; ZHOU Xiaoping; JIANG Guoxiong
- Department of Ultrasound, North Hospital, Chenzhou No.1?eoples Hospital, Chenzhou 423000, China
- Keywords:
- Keywords: lung ultrasound child severe pneumonia lung ultrasound score clinical outcome
- PACS:
- R725.6
- DOI:
- DOI:10.3969/j.issn.1005-202X.2022.09.014
- Abstract:
- Abstract: Objective To explore the feasibility of lung ultrasound (LUS) in evaluating the treatment outcome of severe pneumonia (SP) in children. Methods According to the criteria for evaluation of clinical efficacy, a total of 142 children with SP were divided into healing group (75 cases), improvement group (49 cases) and ineffective group (18 cases). At admission, 7 d and 15 d after admission, all underwent LUS and X-ray examinations for observing lung signs and LUS scoring. At 15 d after admission, clinical pulmonary infection score (CPIS) was used for assessing lung infection, blood gas analyzer for detecting alveolar -arterial gradient of oxygen (A-aDO2) and oxygenation index (OI), and Pearson correlation coefficient for analyzing the relationships between LUS score at 15 d after admission and CPIS, A-aDO2, OI. Results At 7 d and 15 d after admission, compared with the other two groups, healing group had lower LUS scores, less B-lines in sitting and supine positions, and lower incidence rates of abnormal pleural line and A-line disappearance (P<0.05). The detection rate of pleural effusion by LUS was higher than that by X-ray film in healing group at admission and 7 d after admission (P<0.05), and in ineffective group at admission and 15 d after admission (P<0.05). The CPIS and A-aDO2 in healing group were lower than those in improvement group and ineffective group (P<0.05), while OI level was higher (P<0.05). The results of Pearson correlation analysis showed that LUS score at 15 d after admission was positively correlated with CPIS and A-aDO2 (P<0.05), while negatively correlated with OI (P<0.05). Conclusion LUS and LUS score can effectively evaluate treatment outcome of SP in children, and the detection rate of pleural effusion by LUS is higher, which is of higher clinical application value.
Last Update: 2022-09-27