肾阻力指数评估脓毒症急性肾损伤的研究进展
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v7i1.11788
Abstract
脓毒症急性肾损伤(AKI)是危重病患者中一种常见且严重的并发症,其及时的识别与评估对改善患者预后至关重要。近年来,肾阻力指数(RI)作为一种无创的超声评估指标,逐渐引起了医学界的关注。RI可以反映肾脏血流动力学变化,帮助临床医生评估肾功能。然而,目前关于肾阻力指数在脓毒症AKI评估中的应用研究仍存在一定的局限性,包括其在不同临床情境下的敏感性和特异性不足等问题。本综述将总结肾阻力指数在脓毒症急性肾损伤评估中的最新研究进展,探讨其潜在机制、临床应用及现有的局限性,为未来在该领域的研究提供理论基础和参考。
Keywords
肾阻力指数；脓毒症；急性肾损伤；预测指标
Full Text
PDF - Viewed/Downloaded: 0 TimesReferences
[1] Sharma B, Bhateja A, Sharma R, Chauhan A, Bodh V. Acute kidney injury in acute liver failure: A narrative review. Indi an J Gastroenterol.2024;43(2):377-86.
[2] Mahowald M, Khayat M. Kidney Disease: Acute Kidney Injury.FP Essent.2021;509:11-9.
[3] K C T,Das SK, Shetty MS.Renal Resistive Index:Revisited. Cureus.2023;15(3):e36091.
[4] Cross D, Drury R, Hill J, Pollard AJ. Epigenetics in Sepsis: Understanding Its Role in Endothelial Dysfunction, Immunosuppression,and Potential Therapeutics.Front Immunol. 2019;10:1363.
[5] Al-Husinat Li, Alsabbah A, Hmaid AA, Athamneh R, Adwan M, Hourani MN, et al. Norepinephrine May Exacerbate Septic Acute Kidney Injury:A Narrative Review.J Clin Med. 2023;12(4).
[6] Gonzalez CA, O'Mara A, Cruz JP, Roth D, Van Rysselberghe NL, Gardner MJ. Postoperative sepsis and septic shock after hip fracture surgery.Injury.2023;54(8):110833.
[7] Zhi HJ, Zhao J, Nie S, Ma YJ, Cui XY, Zhang M, et al. Semiquantitative Power Doppler Ultrasound Score to Predict Acute Kidney Injury in Patients With Sepsis or Cardiac Failure:A Prospective Observational Study.J Intensive Care Med. 2021; 36(1):115-22.
[8] Das PK, Maurya SK, Nath SS, Kumar T, Rao N, Shrivastava N. Furosemide Stress Test and Renal Resistive Index for Prediction of Severity of Acute Kidney Injury in Sepsis. Cure us.2023;15(8):e44408.
[9] Saade A, Bourmaud A, Schnell D, Darmon M. Performance of Doppler-Based Resistive Index and Semiquantitative Renal Perfusion in Predicting Persistent Acute Kidney Injury Accor ding to Operator Experience: Post Hoc Analysis of a Prospe ctive Multicenter Study. Crit Care Med.2022;50(4):e361-e9.
[10] Dixon AJ, Osei-Owusu P. Elastin haploinsufficiency accelerates age-related structural and functional changes in the renal microvasculature and impairment of renal hemodynamics in female mice.Front Physiol.2023;14:1141094.
[11] Ruiz S, Vardon-Bounes F, Virtos M, Seguin T, Crognier L, Rouget A, et al. Influence of arterial blood gases on the renal arterial resistive index in intensive care unit. J TranslMed. 2023;21(1):541.
[12] Darabont R, Mihalcea D, Vinereanu D. Current Insights into the Significance of the Renal Resistive Index in Kidney and Cardiovascular Disease. Diagnostics (Basel). 2023;13(10).
[13] Shen H, Na W, Li Y, Qu D. The clinical significance of renal resistance index (RRI) and renal oxygen saturation (RrSO2) in critically ill children with AKI: a prospective cohort study.BMC Pediatr.2023;23(1):224.
[2] Mahowald M, Khayat M. Kidney Disease: Acute Kidney Injury.FP Essent.2021;509:11-9.
[3] K C T,Das SK, Shetty MS.Renal Resistive Index:Revisited. Cureus.2023;15(3):e36091.
[4] Cross D, Drury R, Hill J, Pollard AJ. Epigenetics in Sepsis: Understanding Its Role in Endothelial Dysfunction, Immunosuppression,and Potential Therapeutics.Front Immunol. 2019;10:1363.
[5] Al-Husinat Li, Alsabbah A, Hmaid AA, Athamneh R, Adwan M, Hourani MN, et al. Norepinephrine May Exacerbate Septic Acute Kidney Injury:A Narrative Review.J Clin Med. 2023;12(4).
[6] Gonzalez CA, O'Mara A, Cruz JP, Roth D, Van Rysselberghe NL, Gardner MJ. Postoperative sepsis and septic shock after hip fracture surgery.Injury.2023;54(8):110833.
[7] Zhi HJ, Zhao J, Nie S, Ma YJ, Cui XY, Zhang M, et al. Semiquantitative Power Doppler Ultrasound Score to Predict Acute Kidney Injury in Patients With Sepsis or Cardiac Failure:A Prospective Observational Study.J Intensive Care Med. 2021; 36(1):115-22.
[8] Das PK, Maurya SK, Nath SS, Kumar T, Rao N, Shrivastava N. Furosemide Stress Test and Renal Resistive Index for Prediction of Severity of Acute Kidney Injury in Sepsis. Cure us.2023;15(8):e44408.
[9] Saade A, Bourmaud A, Schnell D, Darmon M. Performance of Doppler-Based Resistive Index and Semiquantitative Renal Perfusion in Predicting Persistent Acute Kidney Injury Accor ding to Operator Experience: Post Hoc Analysis of a Prospe ctive Multicenter Study. Crit Care Med.2022;50(4):e361-e9.
[10] Dixon AJ, Osei-Owusu P. Elastin haploinsufficiency accelerates age-related structural and functional changes in the renal microvasculature and impairment of renal hemodynamics in female mice.Front Physiol.2023;14:1141094.
[11] Ruiz S, Vardon-Bounes F, Virtos M, Seguin T, Crognier L, Rouget A, et al. Influence of arterial blood gases on the renal arterial resistive index in intensive care unit. J TranslMed. 2023;21(1):541.
[12] Darabont R, Mihalcea D, Vinereanu D. Current Insights into the Significance of the Renal Resistive Index in Kidney and Cardiovascular Disease. Diagnostics (Basel). 2023;13(10).
[13] Shen H, Na W, Li Y, Qu D. The clinical significance of renal resistance index (RRI) and renal oxygen saturation (RrSO2) in critically ill children with AKI: a prospective cohort study.BMC Pediatr.2023;23(1):224.
Copyright © 2025 丁红, 张坤
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
