床旁肌肉超声评估老年患者衰弱的研究进展

Research progress on bedside muscle ultrasonography in assessing frailty in elderly patients

衰弱是指生理储备减少导致抗应激能力下降的多系统综合征,高发于老年患者,且与手术患者的不良预后密切相关。麻醉科医师围术期进行的衰弱评估具有必要性,如何快速、准确、客观地量化评估衰弱,仍是一大难题。随着肌肉变化在衰弱的病理生理改变中的重要性被逐渐揭示,床旁肌肉超声在衰弱评估方面的应用也引起了广泛关注。本文介绍床旁肌肉超声的检查参数及其用于老年患者衰弱评估的参数选择和肌肉选择,以期为麻醉科医师围术期评估衰弱提供参考。

Frailty,a multisystem syndrome in which the decrease of physiological reserve leads to the decrease of anti-stress ability,is highly prevalent among the elderly and is closely associated with adverse outcomes in surgical patients.Therefore,it is necessary for anesthesiologists to evaluate frailty during perioperative period.However,how to quantify frailty quickly,accurately,and objectively remains a challenge.As the importance of muscle changes in the pathophysiological changes of frailty has been gradually revealed,bedside muscle ultrasound has attracted widespread attention in the assessment of weakness.This article introduces the parameters of bedside muscle ultrasoundand,the selection of parameters,and muscles for the assessment of frailty in elderly patients,which is expected to provide reference for anesthesiologists in assessing frailty during the perioperative period.