关于新生儿正常肺脏B-线条数的探讨
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摘要
目的探讨正常新生儿肺部B-线数量变化的影响因素及其变化规律。方法对209例新生儿进行肺部超声检查,并分别计算肺部前、侧、后三个区域B-线的数量,检验新生儿各区域B-线在不同孕周、不同体质量、不同分娩方式上是否存在显著差异。结果不同孕周新生儿肺部B-线数量差异存在统计学意义(P<0.05),不同体质量新生儿肺部B-线数量差异存在统计学意义(P<0.05),且以背部区域较为显著,而不同分娩方式对于新生儿肺部B-线数量不存在统计学意义(P>0.05)。结论新生儿肺部B-线的数量受出生孕周、体质量的影响,且以背部区域为著。
Objective To discuss the influencing factors and changing laws of B-line number in normal neonates.Methods Do the ultrasonic examination of the lungs on 209 newborns,the number of B-line in the front,side and back areas of the lungs was calculated.To test whether there were signigicant differences in the B-line number between different gestational weeks,different weigh and different delivery modes in different regions of the newborn.ResultsThere was a statistically significant difference in the number of lung B-line in neonates with different gestational weeks.(P<0.05)There was a statistically significant difference in the number of lung B-line in neonates with different weights.(P<0.05),and the back area is more prominent.There was no statistically significant difference in the number of lung B-line in neonates with different delivery modes(P>0.05).Conclusions The number of B-lines in the lung of newborns is affected by gestational weeds and weight,and the back area was significant.
Objective To discuss the influencing factors and changing laws of B-line number in normal neonates.Methods Do the ultrasonic examination of the lungs on 209 newborns,the number of B-line in the front,side and back areas of the lungs was calculated.To test whether there were signigicant differences in the B-line number between different gestational weeks,different weigh and different delivery modes in different regions of the newborn.ResultsThere was a statistically significant difference in the number of lung B-line in neonates with different gestational weeks.(P<0.05)There was a statistically significant difference in the number of lung B-line in neonates with different weights.(P<0.05),and the back area is more prominent.There was no statistically significant difference in the number of lung B-line in neonates with different delivery modes(P>0.05).Conclusions The number of B-lines in the lung of newborns is affected by gestational weeds and weight,and the back area was significant.
引文
[1]安晓玲,郝荣,苏海砾.肺超声在小儿支气管炎治疗效果评估中的应用[J].中国超声医学杂志,2016,32(6):497-499.
[2]安晓玲,郝荣,苏海砾.超声在新生儿呼吸窘迫综合征及新生儿湿肺诊断中的价值[J].中国超声医学杂志,2017,33(3):217-220.
[3] LIU J,CAO H Y,WANG HW,et al.The role of lung ultrasound in diagnosis of respiratory distress syndrome in newborn infants[J].Iran J Pediatr,2015,25(1):e323.
[4] LICHTENSTEIN D A,MAURIAT P.Lung ultrasound in the critically III neonate[J].Curr Pediatr ReV,2012,8(3):217-223.
[5]贾艳芳,腾志丽,徐春光,等.极低出生质量和极早早产与新生儿生存状况的关系[J].重庆医学,2017,46(18):2518-2520.
[6] ANDERSON K L,FIELDS J M,PANEBIANCO N L,et al.Inter-rater reliability of quantifying pleural B-lines using multiple counting methods.Journal of ultrasound in medicine official journal of the American institute,2013,32(1):115-120.
[7]卢玉婵,周显礼.经胸肺超声B线的研究[J].临床肺科杂志,2017,22(4):739-741.
[8] VOLPICELLI G,CARDINALE L,GAROFALO G,et al.Usefulness of lung ultrasound in the bedside distinction between pulmonary edema and exacerbation of COPD[J].Emerq Radiol,2008,15(3):145-151.
[9] LICHTENSTEIN D,MEZIERE G,BIDERMAN P,et al.The comet-tail artifact.An ultrasound sign of alveolar-interstitial syndrome[J].Am J Respir Crit Care Med,1997,156(5):1640-1646.
[10] MARTELIUS,HELDT H,LAUERMA K.B-lines on pediatric lung sonograghy:comparison with computed tomography[J].J ultrasound Med,2016,35(1):153-157.
[11] GARGANI L,PICANO E,CARAMELLA D,et al.Lung water assessment by lung ultrasonography in intensive care:apilot study[J].Intensive Care Med,2013,39(1):74-84.
[12]贺晓,梅雪,程秀永,等.早产儿肺脏的超声特征及超声评分[J].中国医学影像技术,2018,34(5):688-691.
[13]李丽君.肺泡表面活性物质对极低体质量早产儿肺透明膜病的预防作用.少儿卫生与妇幼保健,2012,39(18):1930-1931.
[14] YURDAKOK M.Transient tachypnea of the newborn:What is new[J].J Matern Fetal Neonatal Med,2010,23(3):24-26.
[2]安晓玲,郝荣,苏海砾.超声在新生儿呼吸窘迫综合征及新生儿湿肺诊断中的价值[J].中国超声医学杂志,2017,33(3):217-220.
[3] LIU J,CAO H Y,WANG HW,et al.The role of lung ultrasound in diagnosis of respiratory distress syndrome in newborn infants[J].Iran J Pediatr,2015,25(1):e323.
[4] LICHTENSTEIN D A,MAURIAT P.Lung ultrasound in the critically III neonate[J].Curr Pediatr ReV,2012,8(3):217-223.
[5]贾艳芳,腾志丽,徐春光,等.极低出生质量和极早早产与新生儿生存状况的关系[J].重庆医学,2017,46(18):2518-2520.
[6] ANDERSON K L,FIELDS J M,PANEBIANCO N L,et al.Inter-rater reliability of quantifying pleural B-lines using multiple counting methods.Journal of ultrasound in medicine official journal of the American institute,2013,32(1):115-120.
[7]卢玉婵,周显礼.经胸肺超声B线的研究[J].临床肺科杂志,2017,22(4):739-741.
[8] VOLPICELLI G,CARDINALE L,GAROFALO G,et al.Usefulness of lung ultrasound in the bedside distinction between pulmonary edema and exacerbation of COPD[J].Emerq Radiol,2008,15(3):145-151.
[9] LICHTENSTEIN D,MEZIERE G,BIDERMAN P,et al.The comet-tail artifact.An ultrasound sign of alveolar-interstitial syndrome[J].Am J Respir Crit Care Med,1997,156(5):1640-1646.
[10] MARTELIUS,HELDT H,LAUERMA K.B-lines on pediatric lung sonograghy:comparison with computed tomography[J].J ultrasound Med,2016,35(1):153-157.
[11] GARGANI L,PICANO E,CARAMELLA D,et al.Lung water assessment by lung ultrasonography in intensive care:apilot study[J].Intensive Care Med,2013,39(1):74-84.
[12]贺晓,梅雪,程秀永,等.早产儿肺脏的超声特征及超声评分[J].中国医学影像技术,2018,34(5):688-691.
[13]李丽君.肺泡表面活性物质对极低体质量早产儿肺透明膜病的预防作用.少儿卫生与妇幼保健,2012,39(18):1930-1931.
[14] YURDAKOK M.Transient tachypnea of the newborn:What is new[J].J Matern Fetal Neonatal Med,2010,23(3):24-26.