Anderström C, Hallböök T
Scand J Thorac Cardiovasc Surg. 1979;13(2):143-6. doi: 10.3109/14017437909100981.
The resting blood pressure index of the ankle by the Doppler Ultrasound technique was correlated to the clinical picture and angiographic appearances in 152 legs. A very good correlation existed between the clinical picture and resting pressure index. The latter followed the angiographic status expressed by a score. We could not show any differences between the gropus pains at rest, gangrene or ulceration, either by resting pressure index or by angiographic score. Statistically highly significant differences were found between the resting pressure index and the groups asymptomatic legs, to the intermittent claudication and claudication to pains at rest or gangrene. Irrespective of where the stenosis is localized, the resting blood pressure index of the ankle is the same when the functional status of the patient is the same. This method cannot define the anatomical distribution of occlusive disease; therefore it cannot replace the angiographic examination when there is an indication for reconstructive arterial surgery. However, in the routine assessment, it offers an objective, reproducible and simple method for evaluating the functional effect of occlusive arterial disease in the lower limbs.
采用多普勒超声技术测量了152条下肢的踝部静息血压指数，并将其与临床表现及血管造影结果进行了相关性分析。临床表现与静息血压指数之间存在非常好的相关性。静息血压指数与血管造影评分所反映的血管造影状况相符。无论是通过静息血压指数还是血管造影评分，我们都未发现静息痛、坏疽或溃疡组之间存在任何差异。静息血压指数与无症状下肢组、间歇性跛行组以及静息痛或坏疽性跛行组之间在统计学上存在高度显著差异。无论狭窄位于何处，当患者功能状态相同时，踝部静息血压指数是相同的。该方法无法确定闭塞性疾病的解剖分布；因此，当有动脉重建手术指征时，它不能替代血管造影检查。然而，在常规评估中，它为评估下肢闭塞性动脉疾病的功能影响提供了一种客观、可重复且简单的方法。
