中国现代医生2025，Vol.63Issue(27)：23-27,5.DOI:10.3969/j.issn.1673-9701.2025.27.005
股直肌超声指标联合临床资料评估MHD患者PEW的价值
The value of using ultrasound indicators of rectus femoris muscle combined with clinical data to evaluate PEW in MHD patients
程冬艳 1过新民2
作者信息
- 1. 汕头大学医学院,广东汕头 515063
- 2. 广州市红十字会医院超声医学科,广东 广州 510220
- 折叠
摘要
Abstract
Objective To explore the value of combining quantitative indicators of rectus femoris muscle obtained through ultrasound technology with clinical data in identifying protein energy wasting(PEW)in patients with chronic kidney disease(CKD)undergoing maintenance hemodialysis.Methods 90 CKD patients undergoing regular hemodialysis treatment in Guangzhou Red Cross Hospital from November 2023 to August 2024 were selected and divided into experimental group(30 cases with PEW)and control group(60 cases without PEW)according to PEW diagnostic criteria.Clinical indicators and quadriceps ultrasound quantitative data were measured and compared between two groups.Independent predictors of PEW were screened through multivariate Logistic regression analysis.A prediction model was constructed and receiver operating characteristic curve were drawn to evaluate its diagnostic performance.Results Significant differences were observed between experimental group and control group in body mass index(BMI),serum albumin,age,gender,rectus femoris thickness,and cross-sectional area(P＜0.05).Multivariate Logistic regression analysis showed that BMI and rectus femoris thickness were independent factors affecting PEW in CKD patients.A diagnostic model based on these two indicators,Logit(P)=1/[1+e-(10.292-0.378×BMI-2.992×rectus femoris thickness)],demonstrated good diagnostic performance(area under the curve=0.853,95％CI:0.764-0.943,P＜0.05).Conclusion Ultrasound assessment of rectus femoris thickness can objectively reflect the degree of skeletal muscle atrophy in CKD patients,and the prediction model constructed in combination with BMI helps in early identification of PEW and clinical intervention decision-making.关键词
超声检查/股直肌/蛋白质能量消耗/慢性肾脏病/维持性血液透析Key words
Ultrasonography/Rectus femoris muscle/Protein energy wasting/Chronic kidney disease/Maintenance hemodialysis分类
医药卫生引用本文复制引用
程冬艳,过新民..股直肌超声指标联合临床资料评估MHD患者PEW的价值[J].中国现代医生,2025,63(27):23-27,5.
