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[超声检查在老年慢性心力衰竭患者肌肉减少症诊断中的应用可能性。]

[The possibilities of ultrasound testing in diagnostics of sarcopenia in older patients with chronic heart failure.].

作者信息

Gulyaev N I, Akhmetshin I M, Gordienco A V, Kulikov A N

机构信息

S.M.Kirov Military Medical Academy, 6 Akad. Lebedev str., St. Petersburg 194044, Russian Federation, e-mail:

出版信息

Adv Gerontol. 2019;32(6):1039-1044.

Abstract

The article presents the results of a study of the possibility of ultrasound testing of sarcopenia in older people suffering from chronic heart failure. All patients (63 persons, mean age 77,2±7,7 years) underwent dual-energy X-ray absorptiometry. Sarcopenia was diagnosed in 31 patients (FNIH sarcopenia project, 2014). The area of the shoulder muscles (m. Biceps brachii), thigh (m. Rectus femoris) and 3 muscles of the forearm (m. brachioradialis, m. extensor carpi radialis longus, m. extensor carpi radialis brevis) was estimated. By performing multiple linear regression analysis, 2 ultrasound models of sarcopenia diagnosis with diagnostic accuracy of 92% and 93,6% are proposed. Models are based on the sum of limb muscle areas adjusted for gender, height and body weight.

摘要

本文介绍了一项关于对患有慢性心力衰竭的老年人进行肌肉减少症超声检测可能性的研究结果。所有患者(63人,平均年龄77.2±7.7岁)均接受了双能X线吸收测定法。根据2014年美国国立卫生研究院(NIH)肌肉减少症项目标准,31例患者被诊断为肌肉减少症。评估了肩部肌肉(肱二头肌)、大腿(股直肌)和前臂3块肌肉(肱桡肌、桡侧腕长伸肌、桡侧腕短伸肌)的面积。通过进行多元线性回归分析,提出了2种肌肉减少症诊断超声模型,诊断准确率分别为92%和93.6%。模型基于根据性别、身高和体重调整后的肢体肌肉面积总和。

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