Baker J D
Arch Surg. 1978 Oct;113(10):1171-3. doi: 10.1001/archsurg.1978.01370220057009.
Postocclusion reactive hyperemia and isolated leg exercise were evaluated as techniques for functional evaluation of lower extremity arterial insufficiency by comparing them with treadmill exercise. Sixty patients with claudication and six normal subjects were evaluated. Changes in Doppler ankle pressures were measured after each form of stress. With substantial occlusive disease, there is a drop in pressure with gradual recovery. Postocclusion reactive hyperemia and isolated leg exercise are abnormal if the pressure does not return to resting levels within two minutes. There was good correlation between the three methods. Postocclusion reactive hyperemia avoids the problems of patient cooperation inherent in the other two methods. Postocclusion reactive hyperemia should probably replace treadmill exercise as the first method of stress testing lower extremities.
通过将闭塞后反应性充血和单腿运动与跑步机运动进行比较，评估它们作为下肢动脉供血不足功能评估技术的效果。对60例跛行患者和6名正常受试者进行了评估。在每种应激形式后测量多普勒踝压的变化。在存在严重闭塞性疾病时，压力会下降并逐渐恢复。如果压力在两分钟内未恢复到静息水平，则闭塞后反应性充血和单腿运动异常。这三种方法之间存在良好的相关性。闭塞后反应性充血避免了其他两种方法中固有的患者配合问题。闭塞后反应性充血可能应该取代跑步机运动，成为下肢应激测试的首选方法。
