位置改变的生命能力作为一种工具来识别隔膜功能障碍:一个定性系统性审查
Hendrik Kever1, Giuseppe Liistro2, Dominique Butenda Babapu3
1Service de Pneumologie, CHU UCL Namur Site De Sainte-Elisabeth, Pl Louise Godin 15, Namur 5000, Belgium; UCLouvain Bruxelles Woluwe, Av. E. Mounier 51, Woluwe-Saint-Lambert 1200, Belgium.
Respiratory medicine and research
|February 23, 2025
概括
生命能力 (VC) 的变化可能表明腹膜功能障碍 (DD). 建议查的切断值为15%,而20%可能会确认DD,但敏感度低.
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 (DD) 查通常使用坐卧至仰卧的生命能力 (VC) 变化 (∆VC).
- 在诊断DD时,已建立的∆VC的预测值是不一致的.
- 本综述评估了确认DD的患者的位置依赖性VC变化.
研究的目的:
- 为了确定∆VC的最佳预测值用于诊断隔膜功能障碍.
- 为了比较客观证实DD的患者的位置依赖性生命能力变化.
主要方法:
- 在2023年12月5日之前对Medline/PubMed,Embase和Scopus进行系统审查.
- 包括的研究测量了独立确认DD的成年患者的位置依赖性VC变化.
- 使用唐斯和黑名单评估的偏见风险.
主要成果:
- 包括10项研究 (393名成年人,284名DD患者).
- 单侧隔膜的∆VC为7-23%;双侧的∆VC为19-37%.
- 对照组显示的∆VC为3-9%.
结论:
- 20%的∆VC切断值可以确认DD,但敏感性较低.
- 作为多式联络战略的一部分,推查15%的∆VC截止值.
- 较轻的DD形式可能不会被这些切线排除在外.
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