使用手指皮肤灌注压评估动静脉血管通路远端的灌注不足情况。
Evaluation for hypoperfusion distal to arteriovenous vascular access using skin perfusion pressure in fingers.
作者信息
Tanaka Akihito, Sakakibara Masaki, Nishimura Hayato, Asano Marina, Kariya Tetsuyoshi, Masamoto Daijiro, Mizutani Makoto, Ishii Hideki, Murohara Toyoaki
机构信息
Department of Cardiology, Handa City Hospital, Handa - Japan.
出版信息
J Vasc Access. 2014 Jan-Feb;15(1):29-32. doi: 10.5301/jva.5000170. Epub 2013 Sep 4.
PURPOSE
The usefulness of skin perfusion pressure (SPP) measurement in the assessment of critical ischemia of the lower limb has previously been established. This study investigated whether finger SPP measurement is useful to evaluate hypoperfusion distal to arteriovenous vascular access in dialysis patients.
METHODS
Seventeen asymptomatic hemodialysis patients with upper extremity arteriovenous access and 17 non-dialysis control patients were prospectively examined. SPP in the thumb, the middle finger and the little finger of both hands was measured. The bilateral difference of the mean SPP of the three fingers was evaluated.
RESULTS
The mean difference of SPP between the contralateral and the arteriovenous access sides among hemodialysis patients (33±2 5 mmHg) was significantly larger than the mean difference of SPP between the left and the right hands among control patients (1.0±6.0 mmHg, p<0.01).
CONCLUSIONS
This report shows the potential usefulness of SPP measurement to evaluate hypoperfusion distal to arteriovenous vascular access.
目的
先前已证实皮肤灌注压（SPP）测量在评估下肢严重缺血方面的有用性。本研究调查了手指SPP测量对于评估透析患者动静脉血管通路远端灌注不足是否有用。
方法
对17例上肢有动静脉通路的无症状血液透析患者和17例非透析对照患者进行前瞻性检查。测量双手拇指、中指和小指的SPP。评估三个手指平均SPP的双侧差异。
结果
血液透析患者对侧与动静脉通路侧之间SPP的平均差异（33±25mmHg）显著大于对照患者左手与右手之间SPP的平均差异（1.0±6.0mmHg，p<0.01）。
结论
本报告显示了SPP测量在评估动静脉血管通路远端灌注不足方面的潜在有用性。
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