ỨNG DỤNG THANG ĐIỂM DOWNES TRONG CHẨN ĐOÁN SUY HÔ HẤP CẤP Ở TRẺ SƠ SINH TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

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Tác giả: Chí Thắng Lục, Đình Học Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học và Công nghệ - Đại học Thái Nguyên, 2023

Mô tả vật lý: tr.169-174

Bộ sưu tập: Metadata

ID: 339645

Thêm vào giỏ Liên kết toàn văn

Nghiên cứu này đánh giá giá trị của thang điểm Downes trong chẩn đoán suy hô hấp ở trẻ sơ sinh tại Bệnh viện Trung ương Thái Nguyên. Phương pháp nghiên cứu mô tả cắt ngang trên 300 trẻ sơ sinh vào điều trị tại khoa sơ sinh - cấp cứu Nhi - Bệnh viện Trung ương Thái Nguyên từ tháng 07/2021 đến tháng 04/2022. Kết quả cho thấy, tỷ lệ suy hô hấp trong nghiên cứu là 32,33%. Trẻ nam nhiều hơn trẻ nữ, tuổi vào viện chủ yếu là từ 1 – 7 ngày tuổi (49,7%), trẻ sơ sinh non tháng (61,7%), cân nặng lúc sinh <
2500 gram (70,7%), mổ lấy thai (52%). Phần lớn trẻ sơ sinh nhập viện có điểm Downes từ 0-3 điểm chiếm 71%, 4-6 điểm chiếm 25%, 7-10 điểm chỉ chiếm 4%. Điểm Downes từ 4 - 6 điểm chiếm tỷ lệ cao nhất trong nhóm trẻ suy hô hấp (69,1%). Điểm cắt tối ưu của thang điểm Downes ở đối tượng nghiên cứu là ≥ 3, với độ nhạy 91,8% và độ đặc hiệu 93,1. Diện tích dưới đường cong ROC là 0,978. Thang điểm Downes có giá trị chẩn đoán suy hô hấp rất tốt ở trẻ sơ sinh.This study evaluated the value of Downes score in diagnosing respiratory distress in neonate at Thai Nguyen National Hospital. A descriptive and cross sectional study were performed on 300 cases of neonate admitted to neonatal and pediatric emergency department - Thai Nguyen national hospital from July 2021 to April 2022. The results showed that the rate of respiratory distress in the study was 32.33%. Most of them were males, the age of admission is mainly from 1-7 days old (49.7%), preterm neonates (61.7%), the birth weight <
2500 grams (70.7%), cesarean section (52%). The majority of newborns admitted to the hospital had Downes scores from 0-3 points, accounted for 71%, 4-6 points accounted for 25%, 7-10 points accounted for only 4%. Downes score from 4-6 points accounted for the highest rate in the group of children with respiratory distress (69.1%). The optimal cut point of the Downes scale in the study subjects was ≥ 3, with sensitivity 91.8% and specificity 93.1%. The area under the ROC curve was 0.978. Downes score had good diagnostic value for respiratory distress in neonates.

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