开发一种可靠且方便的方法来对重症患者的超声波肌肉评估:可靠性研究
Yong Jae Na1, Shin Who Park2, Woo Jung Seo3
1Department of Physical and Rehabilitation Medicine, Chung-Ang University Gwangmyeong Hospital, Chung-Ang University College of Medicine, Gwangmyeong-si, Republic of Korea.
Medicine
|April 28, 2025
概括
超声波可靠地评估重症患者的直骨 femoris 和腹肌肌肉. 这种方便的方法准确地测量了ICU和门诊机构的肌肉质量和质量.
科学领域:
- 临界护理医学 临界护理医学
- 肌肉骨超声波 肌肉骨超声波
- 康复科学 康复科学 康复科学
背景情况:
- 危急病患者通常会经历肌肉衰竭.
- 准确评估肌肉质量和质量对于患者管理至关重要.
- 现有的ICU患者肌肉评估方法可能具有挑战性.
研究的目的:
- 提出和验证可靠和方便的超声波方法.
- 在重症患者中评估直腿筋和腹肌肌肉.
- 在ICU和门诊环境中评估观察者内部和观察者间的可靠性.
主要方法:
- 在23名ICU患者的腿直骨和腹肌肌的超声波测量.
- 测量包括肌肉厚度,横截面积,回声效应和角.
- 使用类内相关系数 (ICC) 来评估可靠性.
主要成果:
- 对于所有测量的肌肉标记物,观察者内部和观察者间的可靠性几乎是完美的 (ICC > 0.80).
- 腿直骨的截面区域显示出最高的可靠性 (ICC > 0.95).
- 胃半径肌肉厚度 (ICC > 0.91) 和回声性 (ICC > 0.91) 也显示出高可靠性.
结论:
- 建议的超声波方法可靠且方便于评估重症患者的肌肉状况.
- 这种方法可以准确评估肌肉质量和质量.
- 这些发现支持使用这种超声波技术来监测ICU和门诊机构的肌肉变化.
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