Hummel B W, Hummel B A, Mowbry A, Maixner W, Barnes R W
Arch Surg. 1978 Jan;113(1):95-8. doi: 10.1001/archsurg.1978.01370130097019.
We compared the ankle pressure response during reactive hyperemia to the response to treadmill exercise in 28 limbs of 14 normal individuals and 26 legs of 15 patients with arterial occlusive disease. The mean percent maximum drop in ankle blood pressure during reactive hyperemia in normal limbs, 17% +/- 11% (+/- 1 SD) was significantly less than that of legs with arterial disease, 54% +/- 15% (P less than .001). Abnormal values were recorded in all but three diseased limbs. There was good correlation between the ankle pressure responses to reactive hyperemia and treadmill exercise (r = 0.71, P less than .001). This study suggests that measurement of ankle pressure during reactive hyperemia may be a useful substitute for treadmill testing to determine the functional capacity of the circulation during stress in patients with arterial occlusive disease. Reactive hyperemia testing requires less time and equipment and may be performed in patients who might be at risk or unable to carry out treadmill exercise.
我们比较了14名正常个体的28条肢体以及15名动脉闭塞性疾病患者的26条腿在反应性充血期间的踝部压力反应与跑步机运动时的反应。正常肢体在反应性充血期间踝部血压的最大下降百分比平均值为17%±11%（±1标准差），显著低于动脉疾病患者腿部的54%±15%（P<0.001）。除三条患病肢体外，所有患病肢体均记录到异常值。反应性充血与跑步机运动时的踝部压力反应之间存在良好的相关性（r = 0.71，P<0.001）。这项研究表明，在反应性充血期间测量踝部压力可能是一种有用的替代跑步机测试的方法，用于确定动脉闭塞性疾病患者在应激状态下循环系统的功能能力。反应性充血测试所需时间和设备较少，并且可以在有风险或无法进行跑步机运动的患者中进行。
