肌骨超声诊断重症加强护理病房获得性肌无力的研究进展

Research progress of musculoskeletal ultrasound in the diagnosis of intensive care unit-acquired weakness

重症加强护理病房获得性肌无力(ICU-AW)是ICU常见的并发症之一。目前该病主要根据医学研究委员会积分量表进行诊断,但往往难以在入院早期对重症患者进行评估。肌骨超声作为一种实时、无创、无辐射、可定性及定量的检查方法,已逐渐应用于ICU-AW的诊断中。本文从上肢肌肉、膈肌、下肢肌肉三方面,就近年肌骨超声诊断ICU-AW的应用进展进行综述。

Intensive care unit-acquired weakness(ICU-AW)is a common complication in patients admitted to the intensive care unit(ICU).Presently,ICU-AW is diagnosed by the Medical Research Council score,but it is difficult to assess critically ill patients early on admission.As a real-time,non-invasive,non-radiative,qualitative and quantitative examination method,musculoskeletal ultrasound can be widely used in the diagnosis of ICU-AW.This paper reviews the research progress of musculoskeletal ultrasound in the diagnosis of ICU-AW from three aspects of upper extremity muscles,diaphragm,lower extremity muscles in recent years.