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[糖尿病微血管病变的束臂试验诊断中毛细血管病变的测定]

[Determination of capillary lesions during diagnosis by means of the tourniquet test of microangiopathies in diabetes mellitus].

作者信息

Stobbe H, Rürup C

出版信息

Schweiz Med Wochenschr. 1979 Dec 1;109(46):1808-10.

PMID:515717
Abstract

Decreased capillary resistance is documented by a pathologic tourniquet test (Rumpel-Leede), which demonstrates the existance of microangiopathy in diabetics. Thanks to its simple and rapid execution the tourniquet test is suitable for early diagnostic assessment of the situation in the microcirculation. The longer the patients have had diabetes, the more frequently is the tourniquet test pathological. There is also a direct correlation between the type of therapy (as an index of the severity of the disease) and the accumulation of pathologic results in measurement of capillary resistance. In diabetics with hypertension, capillary resistance is always decreased to a pathologic degree.

摘要

病理性止血带试验(鲁普雷希特试验)证明了毛细血管阻力降低,这表明糖尿病患者存在微血管病变。由于止血带试验操作简单快捷,适用于对微循环状况进行早期诊断评估。糖尿病患者病程越长,止血带试验出现病理性结果的频率越高。治疗类型(作为疾病严重程度的指标)与毛细血管阻力测量中病理性结果的累积之间也存在直接关联。在患有高血压的糖尿病患者中,毛细血管阻力总是会降至病理性程度。

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