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健康下肢激光多普勒血流值的时空变化:标准探头与多探头的比较。

Spatial and temporal variation in laser Doppler flux values in healthy lower limbs: comparison between the standard and the multiprobe.

作者信息

Wahlberg E, Fagrell B

机构信息

Department of Surgery, Karolinska Hospital, Stockholm, Sweden.

出版信息

Int J Microcirc Clin Exp. 1994 Nov-Dec;14(6):343-6. doi: 10.1159/000178853.

Abstract

Skin flow recordings with a laser Doppler instrument have not proven useful for evaluation of patients with peripheral arterial occlusive disease. The introduction of a probe using seven fibers suggested a reduction in spatial variation, but few studies using this multiprobe have been published. The present study was designed to compare the multiprobe to the standard probe placed between the knee and the first toe, chosen to fit a future study for amputation levels. The aim was to evaluate the multiprobe for that purpose. A laser Doppler fluxmeter with a standard and a multiprobe was used. Measurements were made in five probe sites in lower limbs of healthy volunteers. Each subject was studied by 30-second recordings during 60 min with both probes. Statistically (p < 0.001) lower flux values were obtained with the multiprobe than with the standard probe. The flux variation between the five probe sites was significantly (p < 0.01) higher with the standard probe than with the multiprobe, but the temporal variation was similar with both probes. The results suggest that the spatial variation in widely separated probe sites is reduced with the multiprobe. The temporal variation was not found to be reduced.

摘要

使用激光多普勒仪进行皮肤血流记录,对于评估外周动脉闭塞性疾病患者并无用处。一种采用七根光纤的探头问世,这表明空间变化有所减少,但使用这种多探头的研究鲜有发表。本研究旨在将多探头与置于膝盖和第一趾之间的标准探头进行比较,该标准探头是为适合未来一项关于截肢水平的研究而选定的。目的是为此评估多探头。使用了一台配备标准探头和多探头的激光多普勒血流仪。在健康志愿者下肢的五个探头部位进行了测量。每个受试者使用两种探头在60分钟内进行30秒的记录。统计学上(p<0.001),多探头获得的血流值低于标准探头。标准探头五个探头部位之间的血流变化显著(p<0.01)高于多探头,但两种探头的时间变化相似。结果表明,多探头可减少相距较远的探头部位的空间变化。未发现时间变化有所减少。

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