Department of Adult Intensive Care Medicine.
Department of Nutrition and Dietetics, Amsterdam University Medical Centers, VU University, Amsterdam.
Curr Opin Crit Care. 2021 Aug 1;27(4):354-360. doi: 10.1097/MCC.0000000000000846.
The loss of muscle mass in critically ill patients contributes to morbidity and mortality, and results in impaired recovery of physical functioning. The number of publications on the topic is increasing. However, there is a lack of consistent methodology and the most optimal methodology remains unclear, hampering its broad use in clinical practice.
There is a large variety of studies recently published on the use of ultrasound for assessment of muscle mass. A selection of studies has been made, focusing on monitoring of muscle mass (repeated measurements), practical aspects, feasibility and possible nutrition and physical therapy interventions. In this review, 14 new small (n = 19-121) studies are categorized and reviewed as individual studies.
The use of ultrasound in clinical practice is feasible for monitoring muscle mass in critically ill patients. Assessment of muscle mass by ultrasound is clinically relevant and adds value for guiding therapeutic interventions, such as nutritional and physical therapy interventions to maintain muscle mass and promote recovery in critically ill patients.
危重症患者的肌肉量损失会导致发病率和死亡率增加，并导致身体机能恢复受损。关于这个主题的出版物数量正在增加。然而，目前缺乏一致的方法，最优化的方法仍不清楚，这阻碍了它在临床实践中的广泛应用。
最近发表了大量关于使用超声评估肌肉量的研究。本文选择了一些研究进行分类和综述，重点关注肌肉量的监测（重复测量）、实际方面、可行性以及可能的营养和物理治疗干预。在这篇综述中，有 14 项新的小型（n=19-121）研究被归类为单独的研究。
在临床实践中使用超声监测危重症患者的肌肉量是可行的。超声评估肌肉量具有临床相关性，为指导治疗干预（如营养和物理治疗干预）提供了价值，以维持肌肉量并促进危重症患者的恢复。
