超声在维持性血液透析患者肌少症评估中的研究进展

Research Advances of Ultrasound in the Assessment of Sarcopenia in Maintenance Hemodialysis Patients

摘要: 肌少症是一种以肌肉质量和肌肉力量下降为特点的综合征，伴或不伴有肌肉功能的下降，已成为全球公共卫生问题而备受关注。维持性血液透析患者因蛋白–能量消耗(PEW)、炎症、低活动耐量等，肌肉质量及力量均下降，导致肌少症的发生，临床上称为维持性血液透析相关肌少症。肌少症的出现增加了透析患者出现不良事件(如：跌倒、骨折等)的风险。超声能定量和定性评估肌肉质量，可为维持性血液透析相关肌少症的诊断及治疗评估提供重要参考依据。本文对多模态超声在透析患者肌少症评定中的价值进行综述。

Abstract: Sarcopenia is a syndrome characterized by decreased muscle mass and muscle strength, with or without decreased muscle function, which has become a global public health problem and attracted much attention. Due to protein energy expenditure (PEW), inflammation, low activity tolerance and so on, muscle mass and strength of maintenance hemodialysis patients have decreased, resulting in the occurrence of sarcopenia, which is clinically called maintenance hemodialysis related sarcope-nia. The occurrence of sarcopenia increases the risk of adverse events in dialysis patients. As a non-invasive imaging technique, ultrasound can quantitatively and qualitatively evaluate muscle mass, and can provide an important reference for the diagnosis and treatment of maintenance he-modialysis related sarcopenia. This article reviews the value of multimodal ultrasound in the eval-uation of oligomyosis in dialysis patients.