[肌肉超声波:在重症监护物理治疗师的经验水平的可靠性]
Felipe González-Seguel1, Jorge Molina1, Francisco Ríos-Castro1
1Carrera de Kinesiología, Facultad de Medicina, Clínica Alemana Universidad del Desarrollo, Santiago, Chile.
Revista medica de Chile
|August 2, 2024
概括
经验丰富的物理治疗师在重症患者的肌肉超声波测量中表现出卓越的可靠性. 新手评级者表现出中等到良好的可靠性,强调了精确肌肉质量监测经验的重要性.
科学领域:
- 关键护理医学 关键护理医学
- 肌肉骨成像技术 肌肉骨成像技术
- 康复科学是康复的科学.
背景情况:
- 肌肉超声波是一种经过验证的方法,用于跟踪重症患者的肌肉质量损失.
- 准确的肌肉质量评估在很大程度上取决于操作员的经验水平.
研究的目的:
- 评估经验丰富和新手评分员在测量四头四腿前肌肉厚度和回声强度方面的观察者间可靠性.
- 为了比较不同经验水平之间的肌肉超声波测量的准确性.
主要方法:
- 一项涉及24名重症监护理疗师 (5名经验丰富,19名新手) 的横截式观察性研究.
- 在健康模型中测量肌肉厚度 (厘米) 的标准化超声波协议.
- 新手还通过使用患者图像中的Heckmatt得分对回声强度进行了定性评估.
- 计算了类内相关系数和最小可检测变化.
主要成果:
- 经验丰富的评分人员在测量肌肉厚度时获得了极好的可靠性 (0.82-0.86).
- 新手评分者对四头四的可靠性中等至良好 (0.76),对前骨的可靠性较低 (0.41).
- 新手的定性回声强度得分显示出相当可靠 (0.68) 和与专家 (0.78) 的一致性.
结论:
- 肌肉超声波的观察者间可靠性在经验丰富的评分者中是很好的,对于新手来说是中等到良好.
- 经验水平在临床实践中显著影响肌肉超声波测量的可靠性.
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