膈肌超声方法学及预测全麻术后肌松恢复研究进展
Diaphragmatic ultrasound:methodology and the progress of it in predicting postoperative residual neuromuscular block
刘力玮 1李雨恒 2孔二亮 2凤旭东2
作者信息
- 1. 新乡医学院研究生院,新乡 453003;中国人民解放军联勤保障部队第九八八医院麻醉科,郑州 450042
- 2. 中国人民解放军联勤保障部队第九八八医院麻醉科,郑州 450042
- 折叠
摘要
术后肌松残余(PRNB)在全麻术后发生率较高,全麻苏醒期呼吸功能是否恢复良好是拔管的重要前提.膈肌是最主要的呼吸肌,膈肌超声检查是一项无创、实时、方便的技术.文章通过综述近年文献,介绍了膈肌超声多种探查方法和指标,重点探讨膈肌超声预测PRNB的可行性与准确性,旨在为全麻术后监测肌松残余提出更优技术,促进医疗卫生体系向可视化、精准化、舒适化方向发展.
Abstract
The incidence of postoperative residual neuromuscular block(PRNB)is high and good recovery of respiratory func-tion during the recovery from general anesthesia is an important prerequisite for extubation.The diaphragm is the most dominant respi-ratory muscle,diaphragmtic ultrasound is a non-invasive,safe,real-time,and convenient technique.The review introduces various methods and indices of diaphragmatic ultrasound and summarizes cutting-edge research advances focusing on the feasibility and accura-cy of diaphragmatic ultrasound in predicting PRNB.The aim is to propose better techniques for postoperative monitoring of myasthenic re-siduals after general anesthesia and to promote the development of the healthcare system towards visualization,precision,and comfort.
关键词
膈肌/超声/肌松残余/四个成串刺激Key words
Diaphragm/Ultrasound/Postoperative residual neuromuscular block/Train of four stimulation引用本文复制引用
基金项目
河南省医学科技计划项目(LHGJ20230701)
河南省医学科技计划项目(SBGJ202102204)
河南省自然科学基金(222300420384)
出版年
2024
NETL
NSTL
万方数据