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胸部X线联合CT扫描在老年肺部感染患者临床诊断中的应用价值

The Application Value of Chest X-ray Combined with CT Scan in the Clinical Diagnosis of Elderly Patients with Pulmonary Infection
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摘要 探究了在诊断老年肺部感染患者时应用胸部X线联合CT扫描的价值。选取北京市西城区平安医院老年科2022年4月-2023年1月收治的86例疑似肺部感染患者作为研究对象,所有患者进行了X线胸片检查以及CT胸部扫描,将其影像学检查结果进行分组对比,将单一X线检查的影像学结果设置为X线组,将单一CT检查的影像学结果设置为.CT组,将X线片与CT扫描联合诊断的影像学结果设置为联合组,对比不同组别的疾病检出情况、敏感度、特异度及预测.价值。结果显示,与单独的X线组和CT组比较,联合组的检查灵敏度更高,阴性预测值更高(P<0.05),且联合组的特异度明显高于X线组,组间比较差异显著(P<0.05),经ROC曲线分析,发现联合组的预测准确率更高。研究发现,应用胸部X线联合CT扫描能够进一步提高对肺部感染的检出率,具有较高的灵敏度和特异度,值得应用及推广。 This paper explored the value of chest X-ray combined with CT scanning in diagnosing pulmonary infections in elderly patients.86 suspected pulmonary infection patients admitted to the geriatric department of Ping'an Hospital in Xicheng District,Beiing from April 2022 to January 2023 were selected as the research subjects.All patients underwent X-ray chest films and CT chest scans,and their imaging results were grouped and compared.The imaging results of a single X-ray examination were set as the X-ray group,and the imaging results of a single CT examination were set as the CT group,Set the imaging results of the joint diagnosis of X-ray and CT scans as a joint group,and compare the disease detection,sensitivity,specificity,and predictive value of different groups.The results showed that compared with the individual X-ray and CT groups,the combined group had higher sensitivity and negative predictive value(P<0.05),and the specificity of the combined group was significantly higher than that of the X-ray group.There was a significant difference between the groups(P<0.05).Through ROC curve analysis,it was found that the combined group had a higher predictive accuracy.Research has found that the application of chest X-ray combined with CT scanning can further improve the detection rate of lung infections,with high sensitivity and specificity,and is worthy of application and promotion.
作者 赵秀娟 ZHAO Xiujuan(Elderly Department of Ping'an Hospital in Xicheng District,Bejing 100035)
出处 《科技与健康》 2023年第1期48-51,共4页 Technology and Health
关键词 胸部X线 CT扫描 老年 肺部感染 临床诊断 chest X-ray CT scanning old age pulmonary infection clinical diagnosis
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