在评估半膜功能时用超声波取代光学,这是一项探索性前性研究
Søren Helbo Skaarup1, Peter Juhl-Olsen2, Anne Sofie Grundahl3
1Department of Respiratory Medicine and Allergy, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200, Aarhus, Denmark. soeska@rm.dk.
The ultrasound journal
|January 8, 2024
概括
超声波有效地测量隔膜外流,与光镜相比显示可接受的相关性和偏差. 这表明超声波可以取代评估隔膜功能的传统方法.
科学领域:
- 肺部医学 肺部医学
- 诊断成像 诊断成像 诊断成像
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 隔膜功能障碍会导致呼吸不足和患者的治疗结果不佳.
- 目前的评估方法,如光学是繁的,涉及辐射.
- 超声波提供了一种无辐射,便携的替代方案来评估隔膜功能.
研究的目的:
- 为了比较光镜和超声波对隔膜外流的测量.
- 为了确定超声波能否作为在评估隔膜功能时可行的光镜替代品.
主要方法:
- 同时的超声波和光镜在嗅入和吸入能力期间进行.
- 使用光学 (头骨-尾骨) 和各种超声技术 (M模式,B模式,面积变化,厚度,速度) 测量了隔膜外游.
- 包括42名患有COPD,心力衰竭和健康志愿者的参与者.
主要成果:
- 在M模式超声波和对隔膜外观的光镜之间发现了适度的皮尔森相关性 (0.61).
- 回归分析显示斜率为0.9 (90% CI 0.76-1.04),偏差可以接受 (-0.39厘米).
- 在光镜和B模式/区域变换超声波之间观察到很高的相关性;对于厚度和分数的相关性较低. 在灵感能力时,相关性比嗅觉灵感更强.
结论:
- 超声波显示了可接受的相关性和偏差,与膜外观测量光学相比.
- 超声波可以作为评估隔膜外流的主要工具,比光镜有优势.
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