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床边DR胸片在1000例重症监护患者疾病诊断中的作用
The role of bedside DR chest X-ray in the diagnosis of 1000 cases of patients with intensive care unit
【摘要】 目的探讨对1000例重症监护患者实施床边DR胸片检查的临床意义。方法选取2014年6月~2015年12月在我院重症监护病房接受治疗的1000例患者作为研究对象,实施床边DR胸片对其进行检查,对比检查结果情况。结果 1000例重症监护患者中,床边DR胸片对肺不张、肺水肿、肺炎、心包积液、胸腔积液等疾病检出率为99.30%,明显高于未检出率(0.70%),差异有统计学意义(P<0.05);床边DR胸片显示肺不张、肺水肿、肺炎、心包积液、胸腔积液诊断结果准确率分别为34.20%、23.60%、18.40%、5.80%、15.30%,与病理诊断结果34.50%、23.80%、18.30%、5.60%、15.50%比较,差异无统计学意义(P>0.05)。观察组优质片903张,对照组918张,观察组优质片率略低于对照组,差异无统计学意义(χ2=1.203,P=0.273)。结论对重症监护患者实施床边DR胸片检查的临床意义显著,提高了疾病诊断的准确性,安全可靠,满意度较高,值得推广应用。
【Abstract】 Objective To explore the clinical significance of bedside DR chest X-ray examination in 1000 cases of intensive care unit.Methods 1000 patients from June 2014 to December 2015 in our hospital intensive care unit were selected as the research object and the bedside DR chest radiography was carried out to detect the patients,and the results were compared.Results 1000 intensive care patients,bedside DR chest radiograph detection rate of diseases such as atelectasis,pulmonary edema,pneumonia,pericardial effusion,pleural effusion was 99.30% which was wigher than that in the non-detection rate(0.70%),the difference was statistically significant(P <0.05).Bed DR chest radiograph diagnosis of atelectasis,pulmonary edema,pneumonia,pericardial effusion,pleural effusion was 34.20%,23.60%,18.40%,5.80%,15.30% and pathological diagnosis results was 34.50%,23.80%,18.30%,5.60%,15.50%,there was no statistical significance(P>0.05).The observation group quality piece was 903,918 in the control group,the observation group highquality rate was slightly lower than that in the control group,but no significant difference between groups(χ2=1.203,P=0.273).Conclusion In intensive care patients significantly,the clinical significance of the implementation of bedside DR chest X-ray detection can improve the diagnostic accuracy,safety and reliability,satisfaction is higher,which is worthy of popularization and application.
【Key words】 The bed DR chest radiograph; Intensive care patients; Pathologic dliagnosis;
- 【文献出处】 中国当代医药 ,China Modern Medicine , 编辑部邮箱 ,2016年24期
- 【分类号】R816.4
- 【下载频次】31