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屏气作为一种刺激手段,用于通过近红外光谱成像评估外周氧合血流。

Breath-Holding as a Stimulus to Assess Peripheral Oxygenation Flow Using Near-Infrared Spectroscopic Imaging.

作者信息

Leiva Kevin, Gonzalez Isabella, Murillo Juan, Espinosa Aliette, Kirsner Robert S, Godavarty Anuradha

机构信息

Optical Imaging Laboratory, Department of Biomedical Engineering, Florida International University, Miami, FL 33174, USA.

Phillip Frost Department of Dermatology & Cutaneous Surgery, UM Wound Care Center, University of Miami, Miami, FL 33136, USA.

出版信息

Bioengineering (Basel). 2024 Dec 3;11(12):1221. doi: 10.3390/bioengineering11121221.

DOI:10.3390/bioengineering11121221
PMID:39768039
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11673871/
Abstract

A mammalian breath-hold (BH) mechanism can induce vasoconstriction in the limbs, altering blood flow and oxygenation flow changes in a wound site. Our objective was to utilize a BH paradigm as a stimulus to induce peripheral tissue oxygenation changes via studies on control and diabetic foot ulcer (DFU) subjects. Subjects were imaged under a breath-hold paradigm (including 20 s BH) using a non-contact spatio-temporal-based NIRS device. Oxygenated flow changes were similar between darker and lighter skin colors but differed between wound site and normal background tissues. Thus, the ability of peripheral vasculature to response to oxygenation demand can be assessed in DFUs.

摘要

哺乳动物的屏气(BH)机制可诱导四肢血管收缩,改变伤口部位的血流和氧合血流变化。我们的目标是通过对对照组和糖尿病足溃疡(DFU)患者的研究,利用屏气模式作为刺激来诱导外周组织氧合变化。使用基于非接触时空的近红外光谱(NIRS)设备,在屏气模式(包括20秒屏气)下对受试者进行成像。深色和浅色皮肤之间的氧合血流变化相似,但伤口部位和正常背景组织之间存在差异。因此,可以在糖尿病足溃疡中评估外周血管对氧合需求的反应能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a3/11673871/1a2fc72b711c/bioengineering-11-01221-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a3/11673871/c670daf7e717/bioengineering-11-01221-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a3/11673871/47d0e6360df9/bioengineering-11-01221-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a3/11673871/b13d40d156f0/bioengineering-11-01221-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a3/11673871/c8fd0f0001aa/bioengineering-11-01221-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a3/11673871/403640d25260/bioengineering-11-01221-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a3/11673871/1a2fc72b711c/bioengineering-11-01221-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a3/11673871/c670daf7e717/bioengineering-11-01221-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a3/11673871/47d0e6360df9/bioengineering-11-01221-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a3/11673871/b13d40d156f0/bioengineering-11-01221-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a3/11673871/c8fd0f0001aa/bioengineering-11-01221-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a3/11673871/403640d25260/bioengineering-11-01221-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48a3/11673871/1a2fc72b711c/bioengineering-11-01221-g006.jpg

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本文引用的文献

1
Development of a Tissue Oxygenation Flow-Based Index Toward Discerning the Healing Status in Diabetic Foot Ulcers.基于组织氧合流量的糖尿病足溃疡愈合状态判别指数的开发。
Adv Wound Care (New Rochelle). 2024 Jan;13(1):22-33. doi: 10.1089/wound.2022.0170. Epub 2023 May 19.
2
Association between cardiorespiratory fitness and cerebrovascular reactivity to a breath-hold stimulus in older adults: influence of aerobic exercise training.老年人心肺功能与屏气刺激脑血管反应性的关系:有氧运动训练的影响。
J Appl Physiol (1985). 2022 Jun 1;132(6):1468-1479. doi: 10.1152/japplphysiol.00599.2021. Epub 2022 Apr 28.
3
A comparison of hyperspectral imaging with routine vascular noninvasive techniques to assess the healing prognosis in patients with diabetic foot ulcers.
高光谱成像与常规血管无创技术在评估糖尿病足溃疡患者愈合预后方面的比较。
J Vasc Surg. 2022 Jan;75(1):255-261. doi: 10.1016/j.jvs.2021.07.123. Epub 2021 Jul 24.
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Potential markers of healing from near infrared spectroscopy imaging of venous leg ulcer. A randomized controlled clinical trial comparing conventional with hyperbaric oxygen treatment.近红外光谱成像对静脉性下肢溃疡愈合的潜在标志物。一项比较常规治疗与高压氧治疗的随机对照临床试验。
Wound Repair Regen. 2020 Nov;28(6):856-866. doi: 10.1111/wrr.12853. Epub 2020 Aug 24.
5
Hold your breath: peripheral and cerebral oxygenation during dry static apnea.屏气:干性静止屏气时的外周和脑氧合。
Eur J Appl Physiol. 2020 Oct;120(10):2213-2222. doi: 10.1007/s00421-020-04445-y. Epub 2020 Aug 3.
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The reliability of a breath-hold protocol to determine cerebrovascular reactivity in adolescents.一种用于确定青少年脑血管反应性的屏气协议的可靠性。
J Clin Ultrasound. 2020 Nov;48(9):544-552. doi: 10.1002/jcu.22891. Epub 2020 Jun 30.
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Comparing near infrared spectroscopy and transcutaneous oxygen measurement in hard-to-heal wounds: a pilot study.比较近红外光谱和经皮氧分压测量在难愈性伤口中的应用:一项初步研究。
J Wound Care. 2020 Jun 1;29(Sup6):S4-S9. doi: 10.12968/jowc.2020.29.Sup6.S4.
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SFDI biomarkers provide a quantitative ulcer risk metric and can be used to predict diabetic foot ulcer onset.SFDI 生物标志物提供了一种量化的溃疡风险指标,可用于预测糖尿病足溃疡的发生。
J Diabetes Complications. 2020 Sep;34(9):107624. doi: 10.1016/j.jdiacomp.2020.107624. Epub 2020 May 19.
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Breath-Hold Paradigm to Assess Variations in Oxygen Flow in Diabetic Foot Ulcers Using a Noncontact Near-Infrared Optical Scanner.使用非接触式近红外光学扫描仪的屏气范式评估糖尿病足溃疡中氧流量的变化
Adv Wound Care (New Rochelle). 2019 Aug 1;8(8):386-402. doi: 10.1089/wound.2018.0922. Epub 2019 Jul 25.
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Respiratory modulation of peripheral vasoconstriction: a modeling perspective.呼吸对周围血管收缩的调节:建模视角。
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