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通过经皮氧分压测试评估外周血管闭塞性疾病

Assessment of peripheral vascular obliterative disease by transcutaneous oxygen tension tests.

作者信息

Feenstra B W, Meiss L, Montauban van Swijndregt A D, Stigter H, van Urk H

机构信息

Department of Surgery, University Hospital Dijkzigt, Rotterdam, The Netherlands.

出版信息

Eur J Vasc Surg. 1988 Feb;2(1):19-26. doi: 10.1016/s0950-821x(88)80102-6.

Abstract

By repeated measurements in each of ten normal subjects and ten patients with mild intermittent claudication, the performance of three transcutaneous oxygen tension (PtcO2) test in the diagnosis of obliterative peripheral arterial disease was studied. PtcO2 resting value, PtcO2 response to oxygen breathing and PtcO2 reperfusion response after tourniquet obstruction were all measured on the dorsum of the foot. We found that PtcO2 resting values were not different between patients and controls, while responses to 100% oxygen breathing and reperfusion responses differed significantly between the two groups. The most prominent difference between the two groups was observed in the latency of PtcO2 rise after reperfusion. Therefore the reperfusion response test may have a place in the assessment of claudication by PtcO2 measurement.

摘要

通过对10名正常受试者和10名轻度间歇性跛行患者分别进行重复测量,研究了三种经皮氧分压(PtcO2)测试在诊断闭塞性外周动脉疾病中的表现。在足背测量PtcO2静息值、对吸氧的PtcO2反应以及止血带阻断后的PtcO2再灌注反应。我们发现,患者和对照组的PtcO2静息值没有差异,而两组对100%吸氧的反应和再灌注反应有显著差异。两组之间最显著的差异出现在再灌注后PtcO2上升的潜伏期。因此,再灌注反应测试可能在通过PtcO2测量评估跛行方面具有一定作用。

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