Schöneich C, Kuchenbecker I, Podhaisky H, Hänsgen K, Preuss E G
Z Gesamte Inn Med. 1981 Oct 1;36(19):724-7.
In 23 patients with arterial obstructive disease of type of femoropopliteal localization (stage I and II after Fontaine) comparative oscillographic and doppler-sonographic examinations were performed in rest and after standardized dynamic muscle work. Depending upon the haemodynamic importance of the present obstructions of the arterial system after load a significant increase of the systolic pressure gradient could be proved with decrease of the oscillometric indices. The determination of haemodynamic parameters after ergometric load serves to the objective judgment of the function in vascularly conditioned claudication and it is, moreover, important for the recognition of early changes (asymptomatic stage I). Load tests are indicated always in such cases when the findings under conditions of rest do not allow an unequivocal judgment or discrepancies between subjective functional capacity and ischaemically conditioned restriction of the function are to be supposed.
对23例股腘动脉阻塞性疾病患者（Fontaine分期I期和II期），在静息状态及标准化动态肌肉运动后进行了对比示波检查和多普勒超声检查。根据负荷后动脉系统现有阻塞的血流动力学重要性，可证明收缩压梯度显著增加，同时示波指数降低。运动负荷后血流动力学参数的测定有助于客观判断血管性间歇性跛行的功能，此外，对于识别早期变化（无症状I期）也很重要。当静息状态下的检查结果无法做出明确判断，或者主观功能能力与缺血性功能受限之间存在差异时，总是需要进行负荷试验。
