超声波的诊断价值用于预测在接受麻醉的患者中出现呼吸道困难的发生
Chen Zhang1, Lihai Chen1, Ke Ding1
1Department of Anesthesiology, Nanjing First Hospital, Nanjing Medical University Nanjing 210006, Jiangsu, China.
American journal of translational research
|July 12, 2023
概括
超声波测量下腔腔距离比率 (HMDR) 和从皮肤到表皮质中途 (DSEM) 的距离可以预测麻醉患者的呼吸道困难. 结合HMDR和DSEM,为预测气道困难提供了高诊断价值.
科学领域:
- 麻醉学 麻醉学
- 医疗成像医学成像
- 航空航道管理的管理.
背景情况:
- 预测困难的呼吸道对于麻醉期间的患者安全至关重要.
- 超声波为评估呼吸道解剖学提供了一种非侵入性方法.
- 之前的研究已经探索了各种难以呼吸道的解剖学预测因素.
研究的目的:
- 评估超声波测量结果的诊断准确性,以预测难以发生的呼吸道疾病.
- 评估下腔膜距离比率 (HMDR) 和从皮肤到上腔膜中间距离 (DSEM) 的预测值.
主要方法:
- 对273名接受全身麻醉的患者进行前性研究.
- 使用超声波测量了肌间距离比 (HMDR) 和从皮肤到表皮质中间距离 (DSEM) 的距离.
- 分析了与呼吸道困难发生相关的因素.
主要成果:
- HMDR和DSEM是呼吸道困难的重要预测因素 (P<0.05).
- HMDR显示了71.5%的特异性和91.8%的敏感性;DSEM显示了95.9%的特异性和76.7%的敏感性.
- 结合HMDR和DSEM,实现了97.3%的特异性和90.4%的灵敏度,用于诊断困难的气道.
结论:
- 超声波测量HMDe,HMDR和DSEM有效预测难以发生的呼吸道.
- HMDR和DSEM的结合证明了在麻醉中预测呼吸道困难的显著诊断价值.
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