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外周循环无创测量的发展及其医学应用。

Development of noninvasive measurement of peripheral circulation and its medical application.

机构信息

Department of Public Health, School of Medicine, The University of Tokushima, 3-18-15 Kuramoto-cho, Japan 770, Tokushima.

出版信息

Environ Health Prev Med. 1997 Apr;2(1):1-10. doi: 10.1007/BF02931222.

Abstract

Surveys were carried out on tissue blood flow measurement based on the thermal diffusion method and on the assessment of peripheral circulatory function using photosensors.Regarding the thermal diffusion method, first noninvasive measurement using a Peltier stack was carried out. Then, measurements using a thermal clearance curve at various temperatures were performed.For noninvasive measurement of the mechanical properties of peripheral arteries using photosensors, the author determined the vascular volume ratio and/or the relative vascular volume.For clinical application in field studies, it is necessary to develop an apparatus with which absolute evaluation of the intravascular volume can be carried out using the blood volume around the unit volume as an indicator. Therefore, an apparatus that removes a signal constituent from tissue other than the blood using two-wavelength photosensors is required.If a noninvasive method to accurately measure the intravascular volume is established, changes in the mechanical properties of the peripheral arteries that correspond to functional and organic changes in the normal response can be observed more directly. Moreover, quantitative assessment of peripheral circulatory function will become possible, and diagnosis of the severity of peripheral circulatory disorders will be facilitated.

摘要

针对基于热扩散法的组织血流测量和使用光电传感器评估外周循环功能进行了调查。关于热扩散法,首先进行了使用珀耳帖堆叠的非侵入性测量。然后,在不同温度下使用热清除曲线进行了测量。为了使用光电传感器无创测量外周动脉的机械特性,作者确定了血管容积比和/或相对血管容积。为了在现场研究中进行临床应用,有必要开发一种仪器,该仪器可以使用单位体积周围的血液体积作为指标来进行血管内体积的绝对评估。因此,需要一种使用双波长光电传感器从血液以外的组织中去除信号成分的仪器。如果建立了一种能够准确测量血管内体积的无创方法,则可以更直接地观察到对应于正常反应中功能和有机变化的外周动脉机械特性的变化。此外,可以进行外周循环功能的定量评估,并且有助于诊断外周循环障碍的严重程度。

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