重症患者の下肢と副呼吸器の筋肉の衰弱の違い
Ryuji Sugiya1,2, Shinichi Arizono3, Yuji Higashimoto2
1Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Aichi, Japan.
Journal of medical ultrasonics (2001)
|September 6, 2025
まとめ
重症患者は7日以内に筋縮の症状を発症した. ステルノクレドマストイド筋の厚さは有意に変化しなかったが,機械呼吸の持続時間と相関していた.
科学分野:
- クリティカル ケア 医療
- 超音波画像
- 筋肉生理学
背景:
- 重症患者は筋肉縮の危険があり,回復に影響します.
- 集中治療室 (ICU) での筋肉の変化の評価は,患者のアウトカムにとって極めて重要です.
- 超音波検査は筋肉の形状を評価するための非侵襲的な方法です.
研究 の 目的:
- 重症患者の筋縮と筋縮を比較する.
- ICUでの筋肉の変化を定量化するための超音波の有用性を調査する.
- この患者集団における筋肉の消耗に関連する要因を特定する.
主な方法:
- 34人の重症患者が研究に参加しました.
- 筋の厚さと直骨骨と骨骨の横断面は,超音波で測定した.
- 投与後最大13日間の間隔で測定した.
主要な成果:
- レクトス・フェモリスの厚さと横断面は7日後に有意に減少した (P < 0. 05).
- ステルノクレドマストイド筋の厚さについては,有意な変化は見られなかった.
- ステルノクレドマストイドの厚さは,入院期間と機械呼吸器の持続時間との負の相関を示した (r = - 0. 38, P < 0. 5; r = - 0. 64, P < 0. 05).
結論:
- 重症患者は最初の1週間以内に下肢の筋肉 (直骨) が著しく縮小する.
- ステルノクレドマストア筋の衰弱は,機械呼吸器の持続時間に関連している可能性があります.
- 超音波検査は,ICUでの筋肉の変化を監視する貴重なツールです.
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