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使用单点激光多普勒血流仪测量前臂和食指局部热充血的日间可靠性。

Between-day reliability of local thermal hyperemia in the forearm and index finger using single-point laser Doppler flowmetry.

作者信息

McGarr Gregory W, Hodges Gary J, Cheung Stephen S

机构信息

Environmental Ergonomics Laboratory, Department of Kinesiology, Brock University, St. Catharines, ON, Canada.

出版信息

Microcirculation. 2017 Nov;24(8). doi: 10.1111/micc.12395.

Abstract

OBJECTIVE

To assess between-day reliability for LTH in glabrous and nonglabrous index finger skin and nonglabrous forearm skin, with single-point laser Doppler flowmetry.

METHODS

Part-1: In healthy, habitually active males (n=10), LTH was examined twice (~7-10 days apart) for both skin types on the index finger. Part-2: Identical testing was performed on the volar forearm. Local heating (33-42°C at 1°C·20 s  + 20 minutes at 44°C) was performed at all skin sites and baseline, initial peak, and plateau phases were identified. Data were expressed as raw CVC (laser-Doppler flux/MAP), and as CVC normalized to baseline (%CVC ) and maximum heating (%CVC ). Reliability was assessed using between-day mean difference, %CV, and ICC.

RESULTS

Reliability (%CV) was poor at baseline for all forms of data presentation and for other phases with %CVC . At the initial peak and plateau, reliability was moderate-poor (20%-26%) for CVC and good-moderate (6%-18%) for %CVC . Reliability was good-moderate for vasodilatory onset time (10%-23%) and time to initial peak (6%-13%).

CONCLUSIONS

For all sites, LTH reliability was acceptable for the timing, and for the initial peak and plateau using CVC or %CVC .

摘要

目的

采用单点激光多普勒血流仪评估无毛和有毛食指皮肤以及有毛前臂皮肤中激光热成像(LTH)的日间可靠性。

方法

第一部分:在10名健康、日常活动活跃的男性中,对食指上的两种皮肤类型进行两次LTH检查(间隔约7 - 10天)。第二部分:在前臂掌侧进行相同测试。在所有皮肤部位进行局部加热(33 - 42°C,以1°C·20秒升温,然后在44°C保持20分钟),并确定基线、初始峰值和平稳期。数据以原始CVC(激光多普勒通量/平均动脉压)表示,以及归一化至基线的CVC(%CVC)和最大加热时的CVC(%CVC)表示。使用日间平均差异、%CV和组内相关系数(ICC)评估可靠性。

结果

对于所有数据呈现形式以及%CVC的其他阶段,基线时的可靠性(%CV)较差。在初始峰值和平稳期,CVC的可靠性为中度 - 差(20% - 26%),而%CVC的可靠性为良好 - 中度(6% - 18%)。血管舒张起始时间(10% - 23%)和达到初始峰值的时间(6% - 13%)的可靠性为良好 - 中度。

结论

对于所有部位,LTH在时间、使用CVC或%CVC的初始峰值和平稳期的可靠性是可接受的。

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