【摘要】 目的:探讨经皮血氧饱和度检测在先天性心脏病筛查中的必要性及可靠性。方法:选择对象是2016年1月～2017年12月在复旦大学附属金山医院出生的新生儿,进行临床检查及经皮血氧饱和度检测,筛查阳性的患儿进行超声心动图检查进一步确诊先天性心脏病。结果:经过心超检查及随访确诊先心病79例,两种不同的筛查方法及联合筛查的灵敏度分别为78.48%、48.10%、92.41%,特异度为95.88%、97.71%、97.02%,准确度为95.63%、97.00%、96.95%。结论:联合两项筛查有效提高新生儿先心病的检出,经皮血氧饱和度检测对先天性心脏病的诊治具有重要意义。更多还原

【Abstract】 Objective:To investigate the necessity and reliability of percutaneous oxygen saturation test in CHD screening. Methods: Neonates born in Jinshan Hospital from Jan.2016 to Dec.2017 were selected for clinical examination and percutaneous oxygen saturation test. The children with positive results need to be diagnosed definitely by echocardiography. Results: 79 patients with congenital heart disease were diagnosed by cardiac ultrasonography and follow-up. The sensitivity of the two different screening methods and combined screening were 78.48%, 48.10%, 92.41%, and the specificity was 95.88%, 97.71%, and 97.02%. The accuracy is 95.63%, 97.00%, and 96.95%. Conclusion: Combination of two screening methods can effectively improve the detection of neonatal CHD. Percutaneous oxygen saturation detection is of great significance for the diagnosis and treatment of CHD.更多还原