激光多普勒皮肤灌注压在糖尿病和/或血液透析患者肢体缺血诊断中的应用

Laser Doppler skin perfusion pressure in the diagnosis of limb ischemia in patients with diabetes mellitus and/or hemodialysis.

作者信息

Kondo Y, Muto A, Dardik A, Nishibe M, Nishibe T

机构信息

Division of Cardiovascular Surgery, Department of Surgery, Fujita Health University, Toyoake, Japan.

出版信息

Int Angiol. 2007 Sep;26(3):258-61.

PMID:17622208

Abstract

AIM

We investigated whether measurement of skin perfusion pressure (SPP), as measured by laser Doppler, can be used to evaluate the severity of limb ischemia in diabetes mellitus (DM) and/or hemodialysis (HD) patients.

METHODS

From April 2004 to March 2005, the ankle brachial pressure index (ABPI) and SPP were evaluated in 44 consecutive lower limbs with peripheral artery disease (PAD) and in 24 patients (21 males and 3 females, aged from 45 to 84 years, with a mean age of 69.3 years) with DM and/or HD. Twelve limbs were categorized as Fontaine stage II, 19 as Fontaine stage III and 24 as Fontaine stage IV.

RESULTS

The SPP did not differ significantly between limbs at Fontaine stage II and those at Fontaine stage III, but it was significantly lower in limbs at Fontaine stage IV than in those at Fontaine stage II or III. The ABPI did not differ significantly among limbs at Fontaine stages II, III and IV.

CONCLUSION

The SPP, as measured by the laser Doppler technique, may be used as a standard for classifying the severity of PAD in patients with DM and/or HD.

摘要

目的

我们研究了通过激光多普勒测量的皮肤灌注压（SPP）是否可用于评估糖尿病（DM）和/或血液透析（HD）患者的肢体缺血严重程度。

方法

2004年4月至2005年3月，对44条患有外周动脉疾病（PAD）的连续下肢以及24例患有DM和/或HD的患者（21例男性和3例女性，年龄45至84岁，平均年龄69.3岁）进行了踝肱压力指数（ABPI）和SPP评估。12条肢体被归类为Fontaine II期，19条为Fontaine III期，24条为Fontaine IV期。