血氧饱和度联合听诊杂音监测对先天性心脏病的诊断价值

殷剑松; 薛梅; 王晶; 刘彩霞; 万瑜

doi:10.7619/jcmp.202003022

血氧饱和度联合听诊杂音监测对先天性心脏病的诊断价值

南京医科大学附属常州第二人民医院新生儿科, 江苏常州, 213000

详细信息

通讯作者:
万瑜,E-mail:ruru0303@sina.com

中图分类号: R541
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出版历程
- 收稿日期: 2019-11-26

Diagnostic value of oxygen saturation monitoring combined with auscultation murmur detection in congenital heart disease

Department of Neonatology, Changzhou Second People's Hospital Affiliated to Nanjing Medical University, Changzhou, Jiangsu, 213000

摘要

摘要: 目的探讨血氧饱和度(SpO₂)联合听诊杂音监测在先天性心脏病中的诊断价值。方法选取本院就诊的疑似先天性心脏病患儿288例,比较杂音听诊、SpO₂联合杂音听诊诊断先天性心脏病的灵敏性、特异性、准确性、阳性预测值和阴性预测值。结果 288例患儿中,确诊先天性心脏病155例,其中房间隔缺损、卵圆孔和动脉导管未闭位居前三位,分别占45.16%、26.45%和17.42%; SpO₂联合杂音听诊诊断先天性心脏病的灵敏性、准确性、阴性预测值显著高于杂音听诊(P < 0.05)。结论 SpO₂联合杂音听诊诊断先天性心脏病有较高的应用价值。
- 血氧饱和度 /
- 杂音听诊 /
- 先天性心脏病 /
- 诊断价值
Abstract: Objective To explore the diagnostic value of blood oxygen saturation(SpO₂)monitoring combined with auscultation murmur monitoring in congenital heart disease. Methods A total of 288 children with suspected congenital heart disease were selected. The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of auscultation of murmur alone as well as auscultation of murmur and SpO₂ combined with murmur were compared. Results Among 288 cases, 155 cases were diagnosed as congenital heart disease, among which atrial septal defect, foramen ovale and patent ductus arteriosus ranked the top three, accounting for 45.16%, 26.45% and 17.42% respectively. The sensitivity, accuracy and negative predictive value of SpO₂ combined with murmur auscultation in the diagnosis of congenital heart disease were significantly higher than those of murmur auscultation(P < 0.05). Conclusion SpO₂ combined with murmur auscultation has higher value in the diagnosis of congenital heart disease.
- blood oxygen saturation /
- murmur auscultation /
- congenital heart disease /
- diagnostic value

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