Khan I U, Southern S J, Nishikawa H
Department of Plastic, Hand and Reconstructive Surgery, St James's University Hospital, Leeds, UK.
Br J Plast Surg. 2001 Mar;54(2):137-9. doi: 10.1054/bjps.2000.3545.
Elevation of the hand is recommended for all patients undergoing hand surgery to decrease the swelling in the hand. This study was designed to look at the effects of elevation of the hand on digital blood pressure at different elevation positions. Digital blood pressure was recorded using a digital plethysmograph in 30 subjects for increasing levels of elevation above the heart. Friedman's test was applied to the blood-pressure changes recorded in the four positions of the upper limb and showed a significant sustained fall in mean blood pressure with increasing elevation, bringing into question the use of elevation in certain clinical situations.
建议所有接受手部手术的患者抬高患手，以减轻手部肿胀。本研究旨在观察不同抬高位置时手部抬高对指血压的影响。使用数字体积描记器记录了30名受试者在高于心脏水平的不同抬高位置时的指血压。对上肢四个位置记录的血压变化应用弗里德曼检验，结果显示随着抬高程度增加，平均血压显著持续下降，这使得在某些临床情况下抬高患手的做法受到质疑。
