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肌肉调和弹性之间的关系:使用四列列车监测和连续剪切波弹性学在麻醉诱导期间同时进行量化评估-一项前性观察性研究
Hitoshi Shitara1, Tadanao Hiroki2, Ren Koda3
1Department of Orthopaedic Surgery, Graduate School of Medicine, Gunma University, 3-39-15 Showa-machi, Maebashi-shi 371-8511, Japan.
Diagnostics (Basel, Switzerland)
|February 13, 2025
概括
连续剪波弹性图 (C-SWE) 和四列车 (TOF) 监测可靠地评估麻醉期间的肌肉弹性和肌肉度. 具有较高基线度的肌肉在放松后的弹性下降更大.
科学领域:
- 肌肉骨医学 肌肉骨医学
- 麻醉学 麻醉学
- 生物医学工程 生物医学工程
背景情况:
- 在肌肉骨医学中,非侵入性肌肉弹性和肌肉度评估至关重要.
- 剪波弹性图 (SWE) 量化肌肉弹性,而四列车 (TOF) 监测评估神经肌肉阻塞期间的肌肉度.
研究的目的:
- 为了研究在麻醉诱导过程中肌肉弹性和肌肉度之间的关系.
- 在评估这些参数时评估持续SWE (C-SWE) 和TOF监测的实用性.
主要方法:
- 招募了15名用罗库进行全身麻醉的患者.
- 使用C-SWE测量了横向巨大的肌肉弹性.
- 在完全肌肉放松之前和期间使用TOF监测来评估肌肉度 (TOF比率 = 0).
主要成果:
- 平均剪波速度 (SWV) 从5.0 ± 0.4 m/s显著降低到3.1 ± 0.3 m/s (p < 0.0001).
- 在基线SWV和SWV减少程度之间发现了显著的负相关性 (r = -0.728,p = 0.011).
- 没有观察到SWV和人口因素之间的相关性.
结论:
- 在全身麻醉期间,C-SWE和TOF监测可用于评估肌肉弹性和肌肉度.
- 较高的基线肌肉度与放松后更大的弹性减少有关.
- 这些发现支持C-SWE在手术内肌肉功能评估中的临床应用.
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