常规的胸部X射线在关键支气管炎没有改善结果
Trisha Sunderajan1, Da-Eun Shira Choi2, Caroline LaFerla2
1Division of Pediatric Critical Care, Department of Pediatrics, Blank Children's Hospital, Des Moines, IA 50309, USA.
Journal of clinical medicine
|November 13, 2025
概括
常规的胸部X射线 (CXRs) 在严重的支气管炎可能会延长重症监护室停留时间 (ICU-LOS) 和呼吸支持水平 (ICU-LRS). 这项研究发现,尽管疾病严重程度相似,但CXR与更长的重症监护室停留有关.
科学领域:
- 儿科 儿科 儿科
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
背景情况:
- 胸部X射线 (CXRs) 经常用于诊断支气管炎,尽管美国儿科学会建议不要常规使用.
- 在患有支气管炎的重症婴儿中,CXRs的临床实用性和影响仍在研究中.
研究的目的:
- 评估获得胸部X射线 (CXRs) 与患有支气管炎的重症儿科患者的结果之间的关联.
- 评估CXR对重症监护室停留时间 (ICU-LOS) 和重症监护室呼吸支水平 (ICU-LRS) 的影响.
主要方法:
- 一项回顾性队列研究,涉及107名入住重症监护病房的3岁以下儿童.
- 患者被分为两个组进行分析:接受CXR的患者和没有接受CXR的患者.
- 住院时间在重症监护室 (ICU-LOS) 和重症监护室呼吸支水平 (ICU-LRS) 是主要结局,与使用临界支气管炎评分 (CBS) 预测值相比较.
主要成果:
- 61%的患者接受了CXR.
- 与没有CXR的患者相比,接受CXR的患者的ICU-LOS显著更长 (p=0.01) 并需要更高的ICU-LRS (p=0.02).
- 虽然疾病的严重程度在各组之间相似,但实际和预测的ICU-LOS之间的差异在没有CXR组中更大.
结论:
- 常规CXRs在重症支气管炎患者中很常见.
- 使用CXR可能与长时间的ICU-LOS和增加的ICU-LRS有关,这与实际疾病严重程度无关.
- 需要进一步的研究来澄清CXRs在治疗严重支气管炎中的作用.
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