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两种近红外光谱组织血氧仪(Moxy 和 Nimo)在无创评估肌肉氧合和灌注中的比较。

Comparison of Two NIRS Tissue Oximeters (Moxy and Nimo) for Non-Invasive Assessment of Muscle Oxygenation and Perfusion.

机构信息

University Hospital Zurich, University of Zurich, Department of Neonatology, Biomedical Optics Research Laboratory, Zurich, Switzerland.

Scholkmann Data Analysis Services, Scientific Consulting and Physical Engineering, Zurich, Switzerland.

出版信息

Adv Exp Med Biol. 2020;1232:253-259. doi: 10.1007/978-3-030-34461-0_32.

Abstract

BACKGROUND

Near-infrared spectroscopy (NIRS) tissue oximeters enable non-invasive measurement of muscle oxygenation and perfusion. Several NIRS oximeters are currently available, particularly for muscle measurements.

AIM

To evaluate the agreement of oxygenation and perfusion measurements obtained by two devices (Moxy, Fortiori Designs LLC, USA, and Nimo, Nirox, Italy) during an arterial occlusion test on the arm.

SUBJECT AND METHODS

Arterial occlusions were conducted at the arm of one individual for 10 min with 200 mmHg. Measurements were made twice a day on five different days. Both NIRS devices were fixed at the arm (covering the muscles extensor carpi ulnaris, extensor digitorum, and flexor carpi ulnaris).

RESULTS

The experiment revealed that i) both devices could detect changes in muscle oxygenation and perfusion during the occlusion, but ii) the magnitudes and dynamic changes differed between the two devices.

DISCUSSION AND CONCLUSION

Both devices had different performances with regard to the measurement of tissue oxygenation and perfusion. This study shows that it might be worthwhile to compare all NIRS tissue oximeters currently available for muscle measurement in a large systematic study to increase the comparability of measurements obtained with different devices.

摘要

背景

近红外光谱(NIRS)组织血氧计可实现肌肉氧合和灌注的非侵入式测量。目前有几种 NIRS 血氧计,特别是用于肌肉测量的血氧计。

目的

评估两种设备(美国 Fortiori Designs 公司的 Moxy 和意大利 Nirox 公司的 Nimo)在手臂动脉阻塞试验中获得的氧合和灌注测量值的一致性。

受试者和方法

对一个人的手臂进行 10 分钟的动脉阻塞,压力为 200mmHg。每天在五个不同的日子进行两次测量。两种 NIRS 设备均固定在手臂上(覆盖伸腕肌、伸指肌和尺侧腕屈肌)。

结果

实验表明,i)两种设备都可以在阻塞期间检测肌肉氧合和灌注的变化,但 ii)两种设备之间的幅度和动态变化不同。

讨论与结论

两种设备在测量组织氧合和灌注方面表现不同。本研究表明,在一项大型系统研究中比较目前所有用于肌肉测量的 NIRS 组织血氧计可能是值得的,以提高不同设备获得的测量值的可比性。

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