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目的探讨简易高危儿筛查法在低出生体重儿中的应用价值。方法选取海口市妇幼保健院初筛疑为脑损伤低出生体重儿96例作为研究对象,先行脑损伤诊断(对照组),再行简易筛查法(实验组)。采用ROC曲线法,对比两组诊断价值。结果实验组佝偻病、中枢协调障碍检出率分别为29.17%、43.75%,均明显高于对照组的16.67%、23.96%(P<0.05)。实验组脑损伤检出的符合率91.67%、敏感度97.92%、特异度94.79%,高于对照组的72.92%、79.17%,75.00%(P<0.05)。结论简易高危儿筛查法诊断低出生体重伴脑损伤敏感度、特异度较高,可对早期脑损伤准确诊断,便于后续治疗,改善预后,值得临床推广应用。
Objective To investigate the value of simple high-risk screening in low birth weight infants. Methods Ninety-six children with low birth weight who were screened suspected of brain injury in Haikou MCH hospital were selected as the research object. The brain injury was diagnosed first (control group) and then simple screening method (experimental group). The ROC curve method was used to compare the diagnostic value of two groups. Results The detection rates of rickets and central coordination disorders in experimental group were 29.17% and 43.75%, respectively, which were significantly higher than those in control group (16.67% and 23.96%, P <0.05). The coincidence rate of brain injury in experimental group was 91.67%, sensitivity was 97.92%, specificity was 94.79%, which was higher than that in control group (72.92%, 79.17%, 75.00%, P <0.05). Conclusions Simple screening of high-risk children with low birth weight and brain damage diagnosis sensitivity, high specificity, accurate diagnosis of early brain injury, facilitate follow-up treatment and improve prognosis, it is worth promoting clinical application.