Department of Emergency Medicine, Shiyan People's Hospital of Bao'an District, Shenzhen, Guangdong, China.
Emergency Department of TungWah Affiliated Hospital, Sun-Yat Sen University, Dongguan, China.
Braz J Med Biol Res. 2019;52(10):e8122. doi: 10.1590/1414-431X20198122. Epub 2019 Sep 16.
Ultrasound-measured inferior vena cava (IVC) and abdominal aorta (Ao)-associated parameters have been used to predict volume status for decades, yet research focusing on the impact of individual physical characteristics, including gender, height/weight, body surface area (BSA), and age, assessed simultaneously on those parameters in Chinese children is lacking. The aim of the present study was to explore the impact of individual characteristics on maximum IVC diameter (IVCmax), Ao, and IVCmax/Ao in healthy Chinese children. From September to December 2015, 200 healthy children from 1 to 13 years of age were enrolled. IVCmax and Ao diameters were measured by 2D ultrasound. We found that age (years), height (cm), weight (kg), waist circumference (cm), and BSA (m2) were positively correlated with IVCmax and Ao. Multivariate linear regression showed that age was the only independent variable for IVCmax (mm) in female children, height was the only independent variable for IVCmax in male children, and age was the only independent variable for Ao in both females and males. IVCmax/Ao was not significantly influenced by the subjects' characteristics. In conclusion, IVCmax and Ao were more susceptible to subjects' characteristics than IVCmax/Ao. IVCmax/Ao could be a reliable and practical parameter in Chinese children as it was independent of age, height, and weight.
几十年来,超声测量下腔静脉(IVC)和腹主动脉(Ao)相关参数一直被用于预测容量状态,但缺乏针对个体身体特征(包括性别、身高/体重、体表面积(BSA)和年龄)同时对这些参数进行评估的研究。本研究旨在探讨个体特征对健康中国儿童最大下腔静脉直径(IVCmax)、Ao 和 IVCmax/Ao 的影响。2015 年 9 月至 12 月,共纳入 200 名 1 至 13 岁的健康儿童。通过二维超声测量 IVCmax 和 Ao 直径。我们发现年龄(岁)、身高(cm)、体重(kg)、腰围(cm)和 BSA(m2)与 IVCmax 和 Ao 呈正相关。多元线性回归显示,年龄是女性儿童 IVCmax(mm)的唯一独立变量,身高是男性儿童 IVCmax 的唯一独立变量,年龄是女性和男性 Ao 的唯一独立变量。IVCmax/Ao 不受研究对象特征的显著影响。总之,IVCmax 和 Ao 比 IVCmax/Ao 更易受研究对象特征的影响。IVCmax/Ao 可能是中国儿童中可靠且实用的参数,因为它不受年龄、身高和体重的影响。