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双波长血氧测量法测量大视网膜血管中的视网膜血氧饱和度受血流线性速度的影响。

The Retinal Oxygen Saturation Measured by Dual Wavelength Oximetry in Larger Retinal Vessels is Influenced by the Linear Velocity of the Blood.

机构信息

a Department of Ophthalmology , Aarhus University Hospital , Aarhus C , Denmark.

出版信息

Curr Eye Res. 2019 Jan;44(1):46-52. doi: 10.1080/02713683.2018.1524015. Epub 2018 Oct 5.

Abstract

Dual wavelength retinal oximetry allows the quantification of oxygen saturation in the larger retinal vessels. However, the technique might be refined further by identifying factors that are responsible for the different oxygen saturations in first order arterioles from the same eye shortly after their branching from the central retinal artery. The purpose of the present study is to investigate whether these factors involve rheological characteristics in the studied vessels. In fourty healthy persons the oxygen saturation was measured by dual wavelength oximetry and the blood flow by Doppler OCT in the upper and lower temporal and nasal arterioles and venules shortly after their branching from the central retinal artery and vein. The relationship of the measured oxygen saturations with age, vessel diameter, and blood linear velocity were assessed. The measured oxygen saturations were (mean± SD) 97.8% ± 6.4% in the arterioles and 60.2% ± 8.8% in the venules. For both the arterioles and the venules the measured oxygen saturation (S) correlated significantly with the linear velocity (v) of the blood in mm/s (S = 101.6-0.28v,  < 0.0001 for arterioles and S = 64.5-0.38v,  = 0.002 for venules). After correction for the variation in linear velocity, the differences in saturation between first order branches from both arterioles and venules were significantly reduced and the standard deviation of the oxygen saturations were reduced to less than one third. Measurements of oxygen saturation in larger retinal arterioles and venules using dual wavelength oximetry can be improved by correcting for the influence of the linear velocity of the blood.

摘要

双波长视网膜血氧计可定量测量较大视网膜血管中的氧饱和度。然而,通过确定导致同一眼第一级动脉分支后不久从中央视网膜动脉分支的小动脉中氧饱和度不同的因素,可以进一步改进该技术。本研究的目的是研究这些因素是否涉及研究血管中的流变学特征。在 40 名健康人中,通过双波长血氧计测量氧饱和度,并用多普勒 OCT 测量中央视网膜动脉和静脉分支后不久的上、下颞动脉和小静脉中的血流。评估测量的氧饱和度与年龄、血管直径和血液线性速度之间的关系。测量的氧饱和度(平均值±标准差)分别为小动脉中的 97.8%±6.4%和小静脉中的 60.2%±8.8%。对于小动脉和小静脉,测量的氧饱和度(S)与血液的线性速度(v)(mm/s)呈显著相关(S=101.6-0.28v,<0.0001,对于小动脉,S=64.5-0.38v,=0.002,对于小静脉)。在对线性速度的变化进行校正后,小动脉和小静脉的第一级分支之间的饱和度差异显著降低,氧饱和度的标准差降低至三分之一以下。使用双波长血氧计测量较大视网膜动脉和小静脉中的氧饱和度,可以通过校正血液线性速度的影响来提高。

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