对呼吸道超声波进行量化研究,用于预测困难的喉腔镜检查:前性研究
Lin Ning1, Xing Zhu2, Hong-Chao Li1
1Department of Anaesthesiology, Army Medical Center of PLA, Daping Hospital of Army Medical University, Chongqing, China.
Chinese journal of traumatology = Zhonghua chuang shang za zhi
|October 14, 2023
概括
超声波可以使用两个关键测量来预测困难的喉腔镜:下 - 状腺骨 - 喉角和甲状腺软骨距离 (DGTC) 的喉上边缘. 这些护理点预测器有助于预测患者的呼吸道挑战.
科学领域:
- 麻醉学 麻醉学
- 医疗成像医学成像
- 临床诊断 临床诊断 临床诊断
背景情况:
- 在临床实践中,意外困难的喉腔镜检查构成了重大挑战.
- 现有的查测试往往无法准确预测困难的呼吸道.
- 需要新的护理点方法来改善气道管理.
研究的目的:
- 开发和验证难以进行喉腔镜检查的基于超声波的预测指标.
- 为了确定与喉腔镜难度相关的特定超声波测量.
主要方法:
- 对502名接受喉腔镜检查的成年患者进行前性观察性研究.
- 详细的超声波评估包括舌头尺寸,舌骨位置和喉距离.
- 超声波测量与Cormack-Lehane (CL) 对喉腔镜难度分级的相关性.
主要成果:
- 在49名患者中发生了困难的喉腔镜检查 (CL等级III-IV).
- 下 - 状骨 - 骨角 (<125.5°) 和DGTC (>1.22厘米) 是显著的预测指标.
- 接收器运行特征曲线显示出高的预测准确度 (角的AUC为0.930,DGTC为0.722).
结论:
- 对下 - 状骨 - 骨角和DGTC的超声波测量可以有效地预测困难的喉腔镜.
- 这些超声波发现为空气道管理规划提供了有价值的护理信息.
- 患有小下 - 状骨 - 骨角或大DGTC的患者可能需要先进的呼吸道技术.
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