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糖尿病学领域的即时超声检查(POCUS)

Point-of-Care Ultrasound (POCUS) in the Field of Diabetology.

作者信息

Vandemergel X

机构信息

Department of Endocrinology and Diabetology, EpiCURA, Belgium.

出版信息

Int J Chronic Dis. 2021 Mar 8;2021:8857016. doi: 10.1155/2021/8857016. eCollection 2021.

DOI:10.1155/2021/8857016
PMID:33763467
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7964119/
Abstract

Ultrasound is increasingly used in daily clinical practice to improve the efficiency of the clinical examination. In this article, we reviewed its various possible uses in the field of diabetology. The ultrasonic evaluation of the carotid arteries (plaques and intima media thickness) allows improving the assessment of the cardiovascular risk. Steatosis can be detected relatively easily on liver ultrasound. Ultrasound also allows a more sensitive detection of lipohypertrophy resulting in glycemic fluctuations and thus increasing the risk of hypoglycemia than the clinical examination. Finally, muscle ultrasound appears to be a promising tool to assess the nutritional status and its consequences (e.g., falls).

摘要

超声在日常临床实践中的应用日益广泛,以提高临床检查的效率。在本文中,我们回顾了其在糖尿病学领域的各种可能用途。对颈动脉进行超声评估(斑块和内膜中层厚度)有助于改善心血管风险评估。肝脏超声检查相对容易检测出脂肪变性。与临床检查相比,超声还能更灵敏地检测出导致血糖波动进而增加低血糖风险的脂肪增生。最后,肌肉超声似乎是评估营养状况及其后果(如跌倒)的一种很有前景的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc1d/7964119/a047360832ae/IJCD2021-8857016.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc1d/7964119/a047360832ae/IJCD2021-8857016.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc1d/7964119/a047360832ae/IJCD2021-8857016.001.jpg

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本文引用的文献

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Acta Clin Belg. 2021 Jun;76(3):197-203. doi: 10.1080/17843286.2019.1703091. Epub 2019 Dec 9.
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An international multidisciplinary consensus statement on fasting before procedural sedation in adults and children.成人和儿童在程序镇静前禁食的国际多学科共识声明。
Anaesthesia. 2020 Mar;75(3):374-385. doi: 10.1111/anae.14892. Epub 2019 Dec 2.
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Pseudogout Diagnosed By Point-of-care Ultrasound.床旁超声诊断假性痛风
Clin Pract Cases Emerg Med. 2019 Sep 30;3(4):425-427. doi: 10.5811/cpcem.2019.7.43244. eCollection 2019 Nov.
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Mobile phone applications and their use in the self-management of Type 2 Diabetes Mellitus: a qualitative study among app users and non-app users.手机应用程序及其在2型糖尿病自我管理中的应用:一项针对应用程序使用者和非使用者的定性研究。
Diabetol Metab Syndr. 2019 Oct 16;11:84. doi: 10.1186/s13098-019-0480-4. eCollection 2019.
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Diabetes Res Clin Pract. 2019 Nov;157:107843. doi: 10.1016/j.diabres.2019.107843. Epub 2019 Sep 10.
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Histologic Findings of Advanced Fibrosis and Cirrhosis in Patients With Nonalcoholic Fatty Liver Disease Who Have Normal Aminotransferase Levels.非酒精性脂肪性肝病患者转氨酶水平正常时的晚期纤维化和肝硬化的组织学发现。
Am J Gastroenterol. 2019 Oct;114(10):1626-1635. doi: 10.14309/ajg.0000000000000388.
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The role of maximum compressed thickness of the quadriceps femoris muscle measured by ultrasonography in assessing nutritional risk in critically-ill patients with different volume statuses.超声测量股四头肌最大压缩厚度在评估不同容量状态危重症患者营养风险中的作用
Rev Assoc Med Bras (1992). 2019 Aug 5;65(7):952-958. doi: 10.1590/1806-9282.65.7.952.
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Pocket-Sized Versus Conventional Ultrasound for Detecting Fatty Infiltration of the Liver.便携式超声与常规超声检测肝脏脂肪浸润的比较。
Dig Dis Sci. 2020 Jan;65(1):82-85. doi: 10.1007/s10620-019-05752-x. Epub 2019 Aug 2.
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