床旁超声量化评估重症患者肌肉的研究进展

Advance in Muscle Ultrasound Assessment for Intensive Care Unit Patients(review)

重症监护室(ICU)患者意识水平的限制给肌力评估带来巨大的挑战,而肌肉超声检查无需患者配合,且能够客观地观察到肌肉横截面积、厚度、回声强度和羽状角等参数的显著变化,可在ICU早期识别肌肉萎缩。同时,肌肉超声技术易被ICU医生和护士掌握,表现出良好的信度,对识别ICU获得性衰弱高风险患者有一定的意义。此外,超声量化评估肌肉对预测患者结局具有良好的价值。目前仍缺乏超声对ICU获得性衰弱诊断价值的大样本研究,标准化的超声评估方案亦需进一步探讨。

Limitation of consciousness level in intensive care unit(ICU)patients poses a great challenge to muscle strength assessment.Muscle ultrasound does not require patient cooperation,and can objectively measure significant changes in muscle cross-sectional area,thickness,echo intensity,and pennation angle to identify muscle atrophy early in the ICU.At the same time,muscle ultrasound technology is easy to be grasped by ICU doctors and nurses,and both show great reliability,which has certain significance for identifying patients at high risk of ICU-acquired weakness.In addition,ultrasound quantitative assessment of muscle has great value for predicting patient outcomes.Large-scale studies on the diagnostic value of ultrasound in ICU-acquired weakness are still lacking,and standardized ultrasound assessment scheme requires further discussion.