在手术前没有肺病理的患者的肺超声波异常
Susana Gonzalez Suarez1,2, Macarena Aznar de Legarra2, Antonio Barbara Ferreras2
1Department of Surgery, Autonomous University of Barcelona, Barcelona, Spain.
Anesthesiology and pain medicine
|November 29, 2023
概括
肺部超声波异常可能发生在没有肺部疾病的患者中,随着美国麻醉学会 (ASA) 评分的提高而增加. 这些发现与静态肺部顺应性没有相关性.
科学领域:
- 肺部病理学 肺部病理学
- 医疗成像医学成像
- 麻醉学 麻醉学
背景情况:
- 在没有先前存在的肺部疾病的个体中,肺部超声波异常的存在尚未得到充分证实.
- 患有已知的呼吸系统疾病的患者经常出现肺超声波异常.
研究的目的:
- 在没有先前呼吸道疾病的患者中识别病理性超声波肺部发现.
- 调查这些发现与基线疾病和静态肺部合规性的相关性.
主要方法:
- 一项前性观察性研究,涉及104名没有肺病理病史的手术患者.
- 手术前进行了肺部超声波评估,并在全身麻醉期间测量了静态肺部服从性.
- 使用斯皮尔曼相关系数来分析肺超声检查结果与肺部顺应性之间的关系.
主要成果:
- 23.07%的患者表现出1-2个B线,6.7%的B线得分>0.
- 与ASA I患者相比,患有全身性疾病的患者 (ASA评分≥2) 的B线数量显著增加 (P=0.039).
- 在总B线得分和静态肺顺应 (rho = -0.028,P=0.812) 之间没有发现显著的相关性.
结论:
- 肺部超声波异常可能存在于没有肺部疾病的患者中.
- 这些异常的发生率似乎随着美国麻醉学会 (ASA) 评分的提高而增加.
- 在这个队列中,没有观察到肺超声波发现与静态肺服从之间的相关性.
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