Ek A C, Gustavsson G, Lewis D H
Scand J Rehabil Med. 1985;17(2):81-6.
In order to evaluate methods to prevent pressure sores the effect of massage on the local skin blood flow was studied in normal skin and in skin with discolouration (red or reddish blue). In this study massage is defined as small circular movements with the fingertips using liniment. The cutaneous blood flow was measured with a laser Doppler flowmeter. To study the long term effect of massage on normal skin ten patients were measured over a twenty day period with five days before and after a ten day period with massage. Twenty-nine patients with cerebral haemorrhage were measured for two days each to examine the effect immediately after the massage on normal skin. Fifteen patients with discolouration were measured for one day each both on normal skin and injured skin. The difference in blood flow before and after the ten day period of massage was inconsistent and insignificant. The effect of massage which appeared one to two minutes after the stimulus was implemented varies between individuals and within individuals; significantly more women than men increased their skin blood flow bilaterally after massage. In the centre of the injured skin the basal blood flow was higher than in normal skin and it decreased after the massage was implemented. The results stress the importance of continued research to provide an opportunity for individualization in the selection of methods to prevent and treat pressure sores.
为了评估预防压疮的方法，研究了按摩对正常皮肤和变色皮肤（红色或红蓝色）局部皮肤血流的影响。在本研究中，按摩定义为用指尖蘸擦剂进行小圆周运动。用激光多普勒血流仪测量皮肤血流。为研究按摩对正常皮肤的长期影响，对10名患者在20天内进行测量，其中按摩前5天、按摩10天、按摩后5天。对29名脑出血患者每人测量2天，以检查按摩后对正常皮肤的即时影响。对15名皮肤变色患者在正常皮肤和受伤皮肤上各测量1天。按摩10天前后的血流差异不一致且不显著。刺激实施后1至2分钟出现的按摩效果因人而异，且个体内部也存在差异；按摩后双侧皮肤血流增加的女性明显多于男性。在受伤皮肤中心，基础血流高于正常皮肤，按摩实施后血流下降。结果强调了持续研究的重要性，以便为预防和治疗压疮方法的个体化选择提供机会。
