带多普勒超声波衍生的参数与心脏输出测量之间的相关性:系统性审查和元分析
Feng Chen1, Tao-Tao Peng1, Hua-Wei Liu1
1Department of Anesthesiology, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
Quantitative imaging in medicine and surgery
|November 10, 2025
概括
冠状动脉多普勒超声波 (CDU) 显示出对非侵入性监测心脏输出 (CO) 的承诺. 从CDU参数的变化值与CO的相关性比绝对值更好,动脉速度-时间积分是最有效的.
科学领域:
- 心血管超声波是什么意思
- 血液动力学 血液动力学
- 医疗成像医学成像
背景情况:
- 带多普勒超声波 (CDU) 对于非侵入性心脏输出 (CO) 监测的实用性受到争议.
- 现有证据需要综合来定量评估CDU衍生参数与标准CO测量相比.
研究的目的:
- 进行元分析,对CO监测的CDU衍生参数进行综合证据.
- 量化评估CDU参数与标准CO测量之间的相关性.
主要方法:
- 在多个数据库 (PubMed,EMBASE等) 进行了搜索. 在2024年8月之前.
- 提取了相关系数,转换为费舍尔的Z,并计算了聚合的r值.
- 使用STATA进行数据合成和埃格尔回归进行出版偏差评估.
主要成果:
- 在元分析中包括了17项观察性研究.
- 在CDU参数和CO测量之间发现了正相关性 (r=0.53).
- 参数变化值 (r=0.76) 与绝对值 (r=0.43) 相对应得更好; 动脉速度-时间积分显示出最强的相关性 (r=0.81).
结论:
- 从CDU衍生出的参数显示了与CO测量的正相关性.
- 有证据支持使用CDU衍生参数作为替代CO监测器.
- 状动脉速度-时间积分对CO评估具有特别的希望.
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