心肌应变分析在围手术期心功能评估中的临床应用进展  

Research advances in the clinical application of myocardial strain analysis in perioperative cardiac function evaluation

作　　者：谢军[1,2] 孙玉娥[1,2] 郝静 朱蓓蓓[2] 王小雨[2] 于嘉诚[3] Xie Jun;Sun Yu'e;Hao Jing;Zhu Beibei;Wang Xiaoyu;Yu Jiacheng(Nanjing Drum Tower Hospital Clinical College of Jiangsu University,Nanjing 210008,China;Department of Anesthesiology,NanjingDrum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China;Nanjing Drum Tower Hospi-tal Clinical College of Nanjing Medical University,Nanjing 210008,China)

机构地区：[1]江苏大学鼓楼临床医学院,南京210008 [2]南京大学医学院附属鼓楼医院麻醉科,南京210008 [3]南京医科大学鼓楼临床医学院,南京210008

出　　处：《国际麻醉学与复苏杂志》2023年第6期642-647,共6页International Journal of Anesthesiology and Resuscitation

基　　金：国家自然科学基金(82071229,81870871);南京市卫生科技发展专项基金(YKK22089);南京鼓楼医院新技术发展基金(XJSFZJJ202016)。

摘　　要：最近的研究表明,心肌应变分析可以实现整体和局部心脏运动和功能的评估,可早期发现导致心内膜水平损伤的亚临床心肌功能异常和识别出术后不良结局的高风险患者,目前已广泛应用于心血管疾病各个领域。它有潜力成为围手术期患者手术麻醉风险分层、判断预后的早期预警指标。文章综述了心肌应变分析在围手术期心功能评估的临床应用进展,以期为优化心功能异常高危患者围手术期的管理策略提供依据。Recent research has demonstrated that myocardial strain analysis enables the evaluation of global and local cardiac motility and function,leading to advanced detection of sub⁃clinical myocardial functional abnormalities leading to endocardial level in⁃jury and identification of patients at high risk for adverse postoperative outcomes,and is currently widely used in all fields of cardiovas⁃cular disease.It has the potential to become an early warning indicator for risk stratification of surgical anesthesia and determination of prognosis in perioperative patients.This review summarizes the advances in the clinical application of myocardial strain analysis for perioperative cardiac function evaluation,to provide a basis for optimal perioperative management strategies.

关 键 词：心肌应变 二维斑点追踪技术 围手术期 心功能 

分 类 号：R614[医药卫生—麻醉学]