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一项关于使用充气式腹部束带管理直立性低血压的以安全为中心的研究。

A Safety-Centric Study on the Use of Inflatable Abdominal Binders for Managing Orthostatic Hypotension.

作者信息

Toma Milan, Jose Rejath, Syed Faiz, Devine Timothy

机构信息

Department of Osteopathic Manipulative Medicine, College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY 11568, USA.

Mather Hospital, Northwell Health, 75 N Country Rd., Port Jefferson, NY 11777, USA.

出版信息

Clin Pract. 2024 Aug 29;14(5):1737-1743. doi: 10.3390/clinpract14050138.

DOI:10.3390/clinpract14050138
PMID:39311288
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11417920/
Abstract

The study focuses on the design and evaluation of inflatable abdominal binders for managing Orthostatic Hypotension. Orthostatic hypotension is a condition characterized by a significant drop in blood pressure when a person stands up, leading to symptoms such as dizziness, lightheadedness, and even fainting. The management of orthostatic hypotension typically involves a combination of pharmacological and non-pharmacological strategies. In the context of this research, an inflatable abdominal binder was designed, leveraging components that are not only economically viable but also easily obtainable. The evaluation of this device was conducted using a medical education manikin, specifically the CAE iStan manikin. The results demonstrated a correlation between the inflation values of the belt and the resulting pressure values exerted on the body. The general recommendation for an abdominal binder is to exert a pressure of 20-40 mmHg. Contrary to this, the study found that to maintain safe external pressure on the abdomen, the binder should not be inflated over 25 mmHg. This safety threshold was used as a reference point in the study, suggesting a potential need to revisit the standard recommendations for abdominal binder pressure. Further research is needed to assess the device's effectiveness in human subjects and to potentially redefine the safe and effective pressure range for abdominal binders.

摘要

该研究聚焦于用于治疗体位性低血压的充气式腹部束带的设计与评估。体位性低血压是一种在人站立时血压显著下降,进而导致头晕、眩晕甚至昏厥等症状的病症。体位性低血压的治疗通常涉及药物和非药物策略的联合使用。在本研究中,设计了一种充气式腹部束带,其使用的组件不仅经济可行且易于获取。该装置的评估使用了医学教学人体模型,具体为CAE iStan人体模型。结果表明束带的充气值与施加在身体上的压力值之间存在相关性。腹部束带的一般建议压力为20 - 40 mmHg。与此相反,该研究发现,为了在腹部维持安全的外部压力,束带充气不应超过25 mmHg。这一安全阈值在研究中被用作参考点,表明可能需要重新审视腹部束带压力的标准建议。需要进一步研究以评估该装置在人体受试者中的有效性,并可能重新定义腹部束带的安全有效压力范围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b4/11417920/8623d3249a2f/clinpract-14-00138-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b4/11417920/72abf44a7c07/clinpract-14-00138-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b4/11417920/8623d3249a2f/clinpract-14-00138-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b4/11417920/72abf44a7c07/clinpract-14-00138-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60b4/11417920/8623d3249a2f/clinpract-14-00138-g002.jpg

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本文引用的文献

1
Diagnosis and treatment of orthostatic hypotension.直立性低血压的诊断与治疗。
Lancet Neurol. 2022 Aug;21(8):735-746. doi: 10.1016/S1474-4422(22)00169-7.
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Assessment of Abdominal Constrictor's Forces for Informing Computational Models of Orthostatic Hypotension.评估腹部收缩肌力量以指导直立性低血压的计算模型
Materials (Basel). 2022 Apr 26;15(9):3116. doi: 10.3390/ma15093116.
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Elastic Abdominal Binders Attenuate Orthostatic Hypotension in Parkinson's Disease.弹性腹部束带可减轻帕金森病患者的直立性低血压。
Mov Disord Clin Pract. 2015 Nov 27;3(2):156-160. doi: 10.1002/mdc3.12270. eCollection 2016 Mar-Apr.
9
The Prevalence of Orthostatic Hypotension: A Systematic Review and Meta-Analysis.直立性低血压的患病率:系统评价和荟萃分析。
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Efficacy of Servo-Controlled Splanchnic Venous Compression in the Treatment of Orthostatic Hypotension: A Randomized Comparison With Midodrine.伺服控制内脏静脉压迫治疗直立性低血压的疗效:与米多君的随机对照比较
Hypertension. 2016 Aug;68(2):418-26. doi: 10.1161/HYPERTENSIONAHA.116.07199. Epub 2016 Jun 6.