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下肢闭塞性动脉疾病诊断中静脉阻塞体积描记法的批判性评价

Critical evaluation of venous occlusion plethysmography in the diagnosis of occlusive arterial diseases in the lower limbs.

作者信息

Clement D L, Van Maele G O, De Pue N Y

出版信息

Int Angiol. 1985 Jan-Mar;4(1):69-74.

PMID:4093682
Abstract

In this paper, the value of venous occlusion plethysmography in the differentiation between normal and abnormal is discussed. Data are obtained with an ECG triggered plethysmograph allowing an automatic and also a fast recording of the different parameters of the reactive hyperemia. A group of 74 proven "normal" limbs and of 93 proven "abnormal" limbs was studied. No difference in resting blood flow was seen; however, several parameters derived from reactive hyperemia were significantly different; curves obtained after arrest of the circulation during 3 minutes yielded the best results. Discriminant analysis showed that peak blood flow was the best individual performing parameter; using four variables of the reactive hyperemia curve, an overall performance of 84.9% was obtained with specificity of 93% and sensitivity of 76%. The place of plethysmography in the definition of vascular changes is discussed.

摘要

本文讨论了静脉阻塞体积描记法在区分正常与异常情况方面的价值。数据是通过心电图触发的体积描记器获得的,该仪器能够自动且快速地记录反应性充血的不同参数。研究了一组74条经证实为“正常”的肢体和93条经证实为“异常”的肢体。静息血流量未见差异;然而,从反应性充血得出的几个参数有显著差异;在循环阻断3分钟后获得的曲线产生了最佳结果。判别分析表明,峰值血流量是表现最佳的个体参数;使用反应性充血曲线的四个变量,总体表现为84.9%,特异性为93%,敏感性为76%。本文还讨论了体积描记法在血管变化定义中的地位。

相似文献

1
Critical evaluation of venous occlusion plethysmography in the diagnosis of occlusive arterial diseases in the lower limbs.下肢闭塞性动脉疾病诊断中静脉阻塞体积描记法的批判性评价
Int Angiol. 1985 Jan-Mar;4(1):69-74.
2
[Strain-guage plethysmography in evaluation of the arterial circulation of of the limbs. Note II. Study of post-ischemic reactive hyperemia in normal and arteriopathic subjects].
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[Behavior of post-ischemic reactive hyperemia in increasing periods of circulatory arrest in healthy subjects and in patients with peripheral obliterating arteriopathy].
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