1. 血清 E- 选择素、维生素 A 与早产儿呼吸窘迫综合征严重程度的关系 及对死亡的预测效能研究.
- Author
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郭彦孜, 何 平, 田思航, 闫黎娜, 李 伟, and 马榕蔚
- Abstract
To investigate the relationship between serum E-selectin and vitamin A and the severity of neonatal respiratory distress syndrome (ARDS) and their predictive efficacy in death. 82 premature infants were selected from January 2021 to December 2022. All premature infants were examined by chest radiograph at admission. According to the description of chest radiograph at admission, respiratory distress syndrome was divided into 4 grades, and serum e-selectin and vitamin A were detected. The incidence of respiratory distress syndrome (ARDS) in 82 premature infants was analyzed. The serum E-selectin and vitamin A levels were compared between ARDS group and non-DS group. The levels of serum E-selectin and vitamin A in different grades of children with respiratory distress syndrome were compared. The prognosis of premature infants with respiratory distress syndrome was recorded, and the levels of serum E-selectin and vitamin A were compared between survival group and death group. ROC curve was used to analyze the predictive value of serum E-selectin and vitamin A on the severity and death of premature neonatal respiratory distress syndrome. The serum E-selectin and serum vitamin A in the non-respiratory distress syndrome group were lower than those in the respiratory distress syndrome group (P<0.05). The levels of serum E-selectin and vitamin A in children with different grades of respiratory distress syndrome were significant(P<0.05). The level of serum E-selectin in grade IV group was higher than that in grade Ⅰ, Ⅱ and Ⅲ, and vitamin A was lower than that in grade IV group. The level of serum E-selectin in group Ⅲ was higher than that in group Ⅰ and group Ⅱ, and vitamin A was lower. The level of serum E-selectin in group Ⅱ was higher than that in group Ⅰ, and vitamin A was significantly lower, all P<0. 05. The level of serum E-selectin and vitamin A in the death group were lower than those in the survival group (P<0.05). The diagnostic sensitivity of serum e-selectin was 0.962, specificity was 0.914, truncation value was 63.185ng/L, AUC was 0.979, 95% CI was 0.952~1.000, P=0.000. The diagnostic sensitivity of vitamin A was 0.808, specificity was 0.886, truncation value was 0.635 μmol/L, AUC was 0.891, 95%CI was 0.803-0.980, P=0.000. The diagnostic sensitivity of serum E-selectin was 0.907, specificity was 0.895, cut-off value was 72.560 ng/L, AUC was 0.931, 95%CI was 0.869~0.994, P=0.000. The diagnostic sensitivity of vitamin A was 0.721, specificity was 0.842, truncation value was 0.570 μmol/L, AUC was 0.841, 95%CI was 0.747-0.936, P=0.000. Serum E-selectin, vitamin A can be used to evaluate the severity of premature neonatal respiratory distress syndrome and predict the death of infants with respiratory distress syndrome. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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