Prokhorov G G, Skorodumov Iu A
Vestn Khir Im I I Grek. 1990 Apr;144(4):31-6.
Under examination there were 280 patients with obliterating diseases of lower extremity arteries using the methods of selective ergometry of musculus gastrocnemius. It was established that initial stages of the disease were characterized by 10-fold decrease of working capacity of leg muscles. With progress of ischemia and longer duration of the disease and simultaneously decreased volume of work the strength of a single muscular contraction dropped, their average and maximum instantaneous power decreased which demonstrates the development of degenerative alterations in muscles. Bilateral lesion of the arteries was diagnosed in 85% of patients with complaints about ischemic pains in one extremity. Selective ergography may be used for diagnosing preclinical forms of the disease and objective evaluation of the results of treatment.
对280例下肢动脉闭塞性疾病患者采用腓肠肌选择性测力计法进行检查。结果表明,疾病初期腿部肌肉工作能力下降10倍。随着缺血进展、疾病持续时间延长以及工作量同时减少,单次肌肉收缩强度下降,其平均和最大瞬时功率降低,这表明肌肉发生了退行性改变。85%有一侧肢体缺血性疼痛主诉的患者被诊断为双侧动脉病变。选择性测力描记法可用于诊断该疾病的临床前形式以及客观评估治疗效果。