Short term efficacy of glucocorticoids in patients with idiopathic interstitial pneumonia evaluated by high resolution CT semi quantitative scores
10.3969/j.issn.1005-1678.2017.07.178
- VernacularTitle:高分辨率CT半定量分值判断特发性间质性肺炎患者应用糖皮质激素的近期疗效
- Author:
Weizheng LIU
;
Yuexiang SHUI
- Keywords:
high-resolution CT semi-quantitative score;
idiopathic interstitial pneumonia;
glucocorticoid;
treatment
- From:
Chinese Journal of Biochemical Pharmaceutics
2017;37(7):434-435
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study and analyze the short-term effect of glucocorticoid in patients with idiopathic interstitial pneumonia by analyzing the semi quantitative scores of high resolution CT.Methods 50 cases of idiopathic interstitial pneumonia treated in our hospital from May 2015 to October 2016 were selected as the research object.Clinical data were analyzed, including smoking, signs of hospitalization and dyspnea score.High resolution CT level for the right diaphragmatic top tube, bifurcation, left atrium roof, in 3 aspects from the calculation of cellular disease and shadow grid as a percentage of average, the critical point of high resolution CT scores were 10%, 20%, 30%, 40% and 50%.The accuracy, sensitivity and specificity of glucocorticoids were analyzed.The chi square test was used to examine the enumeration data.Results The accuracy was 72% when the high resolution CT score was 20% critical point.In patients treated with corticosteroids, the high resolution CT score was greater than or equal to 20% for patients and 25 for patients with a score of less than 20% for 25 patients.20% or more patients died during hospitalization, 10 cases, the mortality rate was 40%, and the effective rate of glucocorticoid treatment was 8%.Less than 20% of the patients died during hospitalization, 1 cases, the mortality rate was 4%, and the effective rate of glucocorticoid treatment was 50%.Conclusion High resolution CT semi quantitative score judgment of idiopathic interstitial pneumonia patients treated with glucocorticoid efficacy of high accuracy, high resolution 20% scores higher accuracy, and the diagnosis is well, with further clinical promotion and application significance.
