床旁超声量化评估重症患者肌肉的研究进展

被引:22
作者
李若祎 [1 ]
孙建华 [2 ]
何怀武 [2 ]
李奇 [2 ]
刘华平 [1 ]
机构
[1] 中国医学科学院北京协和医学院护理学院
[2] 中国医学科学院北京协和医院重症医学科
关键词
肌肉超声; ICU获得性衰弱; 综述;
D O I
暂无
中图分类号
R459.7 [急症、急救处理]; R445.1 [超声波诊断];
学科分类号
100231 [临床病理学];
摘要
重症监护室(ICU)患者意识水平的限制给肌力评估带来巨大的挑战,而肌肉超声检查无需患者配合,且能够客观地观察到肌肉横截面积、厚度、回声强度和羽状角等参数的显著变化,可在ICU早期识别肌肉萎缩。同时,肌肉超声技术易被ICU医生和护士掌握,表现出良好的信度,对识别ICU获得性衰弱高风险患者有一定的意义。此外,超声量化评估肌肉对预测患者结局具有良好的价值。目前仍缺乏超声对ICU获得性衰弱诊断价值的大样本研究,标准化的超声评估方案亦需进一步探讨。
引用
收藏
页码:454 / 457
页数:4
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