验证了一种新型的护理点超声波方法,用于评估隔膜外流
Diogo Da Conceicao1, Anahi Perlas2, Laura Giron Arango1
1Anesthesia and Pain Management, Toronto Western Hospital - University Health Network, Toronto, Ontario, Canada.
Regional anesthesia and pain medicine
|November 8, 2023
概括
护理点的超声波可以评估腹膜功能. 使用线性探针测量对应区域 (ZOA) 游览比隔膜圆顶 (DOD) 评估更为成功,为评估隔膜运动提供了一种有希望的新方法.
科学领域:
- 医疗成像医学成像
- 肺部病理学 肺部病理学
- 关键护理医学 关键护理医学
背景情况:
- 护理点超声波 (POCUS) 对于评估隔膜功能和诊断隔膜形非常有价值.
- 建立了对隔膜评估的超声波方法有局限性.
- 准确评估腹膜运动对于患者管理至关重要,特别是在手术环境中.
研究的目的:
- 探索一种用于评估隔膜运动的新型超声波方法.
- 为了与已建立的方法比较应用区域 (ZOA) 的外观:隔膜圆顶 (DOD) 外观和ZOA加厚比率.
- 评估新的ZOA外游方法的一致性和相关性.
主要方法:
- 这是一项前性比较研究,涉及75名具有正常腹膜功能的选择性手术患者.
- 三种超声波方法进行了比较:DOD外观 (曲线式探针),ZOA加厚分数 (线性探针) 和ZOA外观 (线性探针).
- 用高频线性探针测量了ZOA外行的中轴线.
主要成果:
- 对ZOA游览的评估在双边方面始终是成功的 (100%).
- 国防部的巡回评估显示,成功率较低 (98.7%右,34.7%左).
- 绝对值的ZOA外观大于和与国防部外观值的良好相关性.
结论:
- 使用横侧胸部的线性探针评估ZOA游览是一个始终成功的方法.
- 这种新的方法显示出对评估隔膜运动的希望.
- 需要进一步的研究来确定隔膜/的正常值和诊断标准.
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