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基于降阶模型的肢体间歇性气动压迫对心血管系统影响的研究

A reduced-order model-based study on the effect of intermittent pneumatic compression of limbs on the cardiovascular system.

作者信息

Maffiodo Daniela, De Nisco Giuseppe, Gallo Diego, Audenino Alberto, Morbiducci Umberto, Ferraresi Carlo

机构信息

Department of Mechanical and Aerospace Engineering, Politecnico di Torino, Turin, Italy.

Department of Mechanical and Aerospace Engineering, Politecnico di Torino, Turin, Italy

出版信息

Proc Inst Mech Eng H. 2016 Apr;230(4):279-87. doi: 10.1177/0954411916630337. Epub 2016 Feb 11.

Abstract

This work investigates the effect that the application of intermittent pneumatic compression to lower limbs has on the cardiovascular system. Intermittent pneumatic compression can be applied to subjects with reduced or null mobility and can be useful for therapeutic purposes in sports recovery, deep vein thrombosis prevention and lymphedema drainage. However, intermittent pneumatic compression performance and the effectiveness are often difficult to predict. This study presents a reduced-order numerical model of the interaction between the cardiovascular system and the intermittent pneumatic compression device. The effect that different intermittent pneumatic compression operating conditions have on the overall circulation is investigated. Our findings confirm (1) that an overall positive effect on hemodynamics can be obtained by properly applying the intermittent pneumatic compression device and (2) that using intermittent pneumatic compression for cardiocirculatory recovery is feasible in subjects affected by lower limb disease.

摘要

这项研究探讨了对下肢进行间歇性气动压迫对心血管系统的影响。间歇性气动压迫可应用于活动能力降低或丧失的受试者,并且在运动恢复、预防深静脉血栓形成和淋巴水肿引流等治疗目的方面可能有用。然而,间歇性气动压迫的性能和效果往往难以预测。本研究提出了一个心血管系统与间歇性气动压迫装置之间相互作用的降阶数值模型。研究了不同间歇性气动压迫操作条件对整体循环的影响。我们的研究结果证实:(1)通过正确应用间歇性气动压迫装置可对血液动力学产生总体积极影响;(2)对于患有下肢疾病的受试者,使用间歇性气动压迫促进心脏循环恢复是可行的。

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