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腘静脉血流的血流动力学研究:卧床休息和电刺激小腿肌肉收缩的影响。

A hemodynamic study of popliteal vein blood flow: the effect of bed rest and electrically elicited calf muscle contractions.

作者信息

Broderick Barry J, O'Briain David E, Breen Paul P, Kearns Stephen R, Olaighin Gearoid

机构信息

Electrical & Electronic Engineering, National University of Ireland Galway, University Road, Galway, Ireland.

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2009;2009:2149-52. doi: 10.1109/IEMBS.2009.5332561.

Abstract

Venous stasis, due to lack of activation of the calf muscle pump of postoperative patients, can result in the development of a thrombus which, in turn, can lead to a potentially fatal pulmonary embolism. The presented study investigates the effects that four hours of bed rest has on the lower limb hemodynamics of healthy subjects and, to what extent electrically elicited contractions of the calf muscles can alleviate these effects. Results indicated that the non-stimulated group experienced a decline in popliteal venous blood flow of approximately 45 % and a 10 % decrease in heart rate. The stimulated group maintained a higher venous blood flow and heart rate. The results suggest that even short periods of bed rest can significantly reduce lower limb blood flow which could have implications for DVT development in post-operative patients. Electrically elicited calf muscle contractions significantly improves lower limb blood flow and can alleviate the debilitating effects of bed rest.

摘要

由于术后患者小腿肌肉泵缺乏激活,静脉淤滞可导致血栓形成,进而可能导致潜在致命的肺栓塞。本研究调查了四小时卧床休息对健康受试者下肢血流动力学的影响,以及小腿肌肉电诱发收缩能在多大程度上缓解这些影响。结果表明,未刺激组腘静脉血流下降约45%,心率下降10%。刺激组保持较高的静脉血流和心率。结果表明,即使是短时间的卧床休息也会显著降低下肢血流量,这可能对术后患者深静脉血栓形成有影响。电诱发的小腿肌肉收缩显著改善下肢血流量,并可减轻卧床休息的不利影响。

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