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健康男性在肱动脉阻塞和反应性充血期间测量的近红外光谱参数的可重复性。

Reproducibility of near-infrared spectroscopy parameters measured during brachial artery occlusion and reactive hyperemia in healthy men.

机构信息

Montreal Heart Institute Montreal, Cardiovascular Rehabilitation and Prevention Centre (ÉPIC), Quebec, Canada.

出版信息

J Biomed Opt. 2012 Jul;17(7):077010. doi: 10.1117/1.JBO.17.7.077010.

DOI:10.1117/1.JBO.17.7.077010
PMID:22894522
Abstract

Near-infrared spectroscopy (NIRS) is a noninvasive technique evaluating microvascular function. The aim of this study was to assess the reproducibility of NIRS parameters during reactive hyperemia induced by a 5 min brachial artery occlusion. Twenty-four healthy young males (mean 34 ± 8 years old) had two microvascular function evaluations by NIRS over a 7 to 30-day period (mean 16 ± 10 days). Intra-subject and inter-observer reproducibility were evaluated with intraclass correlation coefficient (ICC), coefficient of variation (CV), and standard error of measurement (SEM%) for every parameter. Mean NIRS parameters did not differ between both evaluations. Reproducibility was greatest for muscle oxygen consumption (ICC: 0.84; CV: 6.51%; SEM: 7.11%), time to basal O(2)Hb (ICC: 0.63, CV: 20.04%, SEM 27.22%), time to maximal O(2)Hb (ICC: 0.71; CV: 15.61%; SEM: 19.27%), peak of O(2)Hb (ICC: 0.63, CV: 6.68%, SEM 8.53%), time to maximal tHb (ICC: 0.73, CV: 19,61%, SEM 24.56%) and area under the O(2)Hb and tHb curves (ICC: 0.68, CV: 16.15%, SEM 22.93% and ICC: 0.62, CV: 18.59%, SEM 26.64%, respectively). Moreover, inter-observer reproducibility ranged from excellent to perfect (ICC from 0.85 to 1.00) for every parameter. NIRS parameters during reactive hyperemia are highly reproducible which enables their repeated measurement to study microvascular function in healthy subjects.

摘要

近红外光谱(NIRS)是一种评估微血管功能的非侵入性技术。本研究旨在评估在 5 分钟的肱动脉闭塞引起的反应性充血期间,NIRS 参数的可重复性。24 名健康年轻男性(平均年龄 34 ± 8 岁)在 7 至 30 天的时间内(平均 16 ± 10 天)通过 NIRS 进行了两次微血管功能评估。使用组内相关系数(ICC)、变异系数(CV)和测量标准误差(SEM%)评估每个参数的个体内和观察者间的可重复性。两种评估之间的平均 NIRS 参数没有差异。肌肉氧消耗的可重复性最大(ICC:0.84;CV:6.51%;SEM:7.11%),基底 O(2)Hb 的时间(ICC:0.63,CV:20.04%,SEM 27.22%),最大 O(2)Hb 的时间(ICC:0.71;CV:15.61%;SEM:19.27%),O(2)Hb 的峰值(ICC:0.63,CV:6.68%,SEM 8.53%),tHb 的最大时间(ICC:0.73,CV:19.61%,SEM 24.56%)和 O(2)Hb 和 tHb 曲线下的面积(ICC:0.68,CV:16.15%,SEM 22.93%和 ICC:0.62,CV:18.59%,SEM 26.64%)。此外,每个参数的观察者间可重复性范围从极好到完美(ICC 从 0.85 到 1.00)。反应性充血期间的 NIRS 参数具有高度的可重复性,这使其能够重复测量以研究健康受试者的微血管功能。

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