CAJ | 학술논문

目的评估完全性脊髓损伤患者骶尾部的微循环血流灌注及变化趋势,拟为脊髓损伤患者的翻身时间提供依据.方法选择符合条件的脊髓损伤患者10例作为研究组,骨伤患者19例作为同类对照组,26例的健康志愿者为健康对照组.用激光多普勒血流监测系统实时监测3组研究对象仰卧1h和侧卧0.5 h骶尾部的微循环血流灌注量,取骶尾部受压0,15,30,45,60min及缓解后0,15,30 min的灌注量作为研究点,分析比较各组研究点的血流灌注量及变化趋势.结果研究组各时点骶尾部血流在受压30 min时明显低于2个对照组,差异有统计学意义,且在仰卧位骶尾部受压1h皮肤血流有先升高后下降的趋势,而同类对照组与健康对照组在1h受压期间血流灌注量有升高的趋势.结论对完全性脊髓损伤患者的翻身时间应该重新评估,翻身时间间隔应在1h以内.
목적 평고완전성척수손상환자저미부적미순배혈류관주급변화추세,의위척수손상환자적번신시간제공의거.방법 선택부합조건적척수손상환자10례작위연구조,골상환자19례작위동류대조조,26례적건강지원자위건강대조조.용격광다보륵혈류감측계통실시감측3조연구대상앙와1h화측와0.5 h저미부적미순배혈류관주량,취저미부수압0,15,30,45,60min급완해후0,15,30 min적관주량작위연구점,분석비교각조연구점적혈류관주량급변화추세.결과 연구조각시점저미부혈류재수압30 min시명현저우2개대조조,차이유통계학의의,차재앙와위저미부수압1h피부혈류유선승고후하강적추세,이동류대조조여건강대조조재1h수압기간혈류관주량유승고적추세.결론 대완전성척수손상환자적번신시간응해중신평고,번신시간간격응재1h이내.
Objective To assess the sacrococcygeal microcirculation and the change trend of complete spinal cord injury patients,and in order to provide evidence for turn-over time of spinal cord injury patients.Methods The spinal cord injury patients that met the inclusion criteria were set as the experimental group,patients with orthopedic trauma were named as the similar control group.And certain healthy volunteers were named as the healthy control group.The sacrococcygeal microcirculation of supine position for 1h,and lateral position for 0.5 h was monitored using Doppler blood flow monitor system,then take load period 0min、15m in 、30min、45min、60min,recovery period 0min、15min、30min as research points,the blood perfusion value and the change trend were monitored and analyzed.Results The sacrococcygeal microcirculation in SCI patients were significantly less than two control groups after 30min in supine position,and the blood flow increased at first and then decreased within one hour.While the healthy subjects increased gradually within one hour.Conclusions The time of position change for SCI patients should be reassessed,the interval should be controlled in one hour.