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反射性交感神经营养不良。静息血流量和肌肉温度作为诊断标准。

Reflex dystrophy. Resting blood flow and muscle temperatures as diagnostic criteria.

作者信息

Sylvest J, Jensen E M, Siggaard-Andersen J, Pedersen L

出版信息

Scand J Rehabil Med. 1977;9(1):25-9.

PMID:897609
Abstract

Fifty-one patients were examined following an injury of the upper extremity. Clinically, 25 patients were estimated as having reflex dystrophy, while the rest was categorized as either having a possible reflex dystrophy or acted as controls. Temperature and blood flow measurements were carried out on both extremities of the patients. The temperature of the brachioradial muscle and resting blood flow of the same segment of the forearm gave highly significant elevated values on the reflex dystrophic arms as compared with the healthy side, while the control patients revealed no such differences. Combination of these two parameters proved to give a specificity and sensitivity that high that they can be recommended as a diagnostic tool. A quantitative measurement and exact diagnosis make controlled trials on this group of patients easier in the future.

摘要

51例上肢受伤患者接受了检查。临床上,25例患者被评估为患有反射性交感神经营养不良,其余患者则被归类为可能患有反射性交感神经营养不良或作为对照。对患者的双侧肢体进行了温度和血流测量。与健康侧相比,反射性交感神经营养不良手臂的肱桡肌温度和前臂同一节段的静息血流值显著升高,而对照患者未显示出此类差异。事实证明,将这两个参数结合起来具有很高的特异性和敏感性,因此可推荐作为一种诊断工具。定量测量和准确诊断将使未来对这组患者进行对照试验更加容易。

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