| 摘要: |
| 膈肌功能障碍会导致ICU住院时间延长、脱机失败及死亡率升高,因此,及时评估膈肌功能对于患者的预后转归极为重要。以往膈肌功能评估多用透视、MRI、膈肌肌电图、跨膈压等方法,但因存在辐射、有创、操作复杂等原因使用受到限制。超声作为一种实时、无创、无辐射、经济、可定性及定量的检查方法,可广泛应用于床旁膈肌功能的监测。本文对膈肌生理、超声评估膈肌功能的参数及临床应用进行综述。 |
| 关键词: 膈肌 超声 机械通气 COPD 神经肌肉疾病 |
| DOI： |
| 投稿时间：2021-11-09修订日期：2021-11-30 |
| 基金项目: |
|
| Research progress of ultrasound in monitoring diaphragm function in different diseases |
| CHEN Meng,WANG Baibing,WANG Dandan,TONG Minghui |
| (Department of Ultrasound,Second Hospital of Lanzhou University) |
| Abstract: |
| Diaphragm dysfunction is associated with prolonged ICU stays, weaning failure, and increased mortality, so timely assessment of diaphragm function is critical for patient outcomes.In the past, fluoroscopy, MRI, electromyography of diaphragm, transdiaphragmatic pressure and other methods were used to evaluate diaphragm function, but the use was limited due to radiation, invasive, complex operation and other reasons.As a real-time, non-invasive, non-radiative, economical, qualitative and quantitative examination method, ultrasound can be widely used in the monitoring of bedside diaphragm function. This article reviews the physiological characteristics of diaphragm, parameters of diaphragm function evaluation by ultrasound and clinical application. |
| Key words: diaphragm Ultrasound Mechanical ventilation COPD neuromuscular disease |
