中华手外科杂志
中華手外科雜誌
중화수외과잡지
CHINESE JOURNAL OF HAND SURGERY
2015年
4期
301-305
,共5页
压力%监测%骨筋膜室综合征%传感器
壓力%鑑測%骨觔膜室綜閤徵%傳感器
압력%감측%골근막실종합정%전감기
Pressure%Monitoring%Compartment syndromes%Transducers
目的 探讨使用有创测压装置诊断骨筋膜室综合征的可行性及其临床意义.方法 以血压计袖带压迫法建立新西兰大白兔骨筋膜室综合征动物模型,分别使用有创测压装置及Whiteside法测量实验动物造模前后的骨筋膜室压力.并采用统计学方法比较两种测压方法的测量结果.使用Whiteside法和有创测压装置对健康成人胫前筋膜室压力进行测量.使用有创测压装置对临床怀疑发生骨筋膜室综合征患者的筋膜室压力进行测量,指导临床上对骨筋膜室综合征的诊断与治疗.结果 使用Whiteside法测量造模前实验动物的骨筋膜室压力为(9.35±1.11)mm Hg(1 mm Hg=0.133 kPa),使用有创测压装置测出的压力为(9.25±1.12)mm Hg,P=0.428＞ 0.05,两组数据间的差异无统计学意义,组内相关系数ICC=0.973,认为两组数据具有高度的一致性.使用Whiteside法测量造模后实验动物的骨筋膜室压力为(29.95±2.17)mm Hg,使用有创测压装置测出的压力为(30.15±2.21)mm Hg,P=0.359＞ 0.05,两组数据间的差异无统计学意义,组内相关系数ICC=0.980,同样认为两组数据具有高度的一致性.使用Whiteside法测量受测者的小腿胫前筋膜室压力为(17.28±1.78)mm Hg,使用有创测压装置测量结果为(17.45±1.73)mm Hg,P=0.273＞ 0.05,两组数据间的差异无统计学意义,组内相关系数ICC=0.986,认为两组数据具有高度的一致性.另外,使用有创测压装置测量11例怀疑发生骨筋膜室综合征患者的患肢以及健侧肢体的筋膜室压力,并监测患者血压,对比患侧及健侧肢体的骨筋膜室压力差异并计算患者△P(舒张压-筋膜室压),指导临床诊疗.结论 使用有创测压装置与Whiteside法测量实验动物及健康成人志愿者的骨筋膜室压力结果一致,且前者可更准确地诊断骨筋膜室综合征,具有推广价值.
目的 探討使用有創測壓裝置診斷骨觔膜室綜閤徵的可行性及其臨床意義.方法 以血壓計袖帶壓迫法建立新西蘭大白兔骨觔膜室綜閤徵動物模型,分彆使用有創測壓裝置及Whiteside法測量實驗動物造模前後的骨觔膜室壓力.併採用統計學方法比較兩種測壓方法的測量結果.使用Whiteside法和有創測壓裝置對健康成人脛前觔膜室壓力進行測量.使用有創測壓裝置對臨床懷疑髮生骨觔膜室綜閤徵患者的觔膜室壓力進行測量,指導臨床上對骨觔膜室綜閤徵的診斷與治療.結果 使用Whiteside法測量造模前實驗動物的骨觔膜室壓力為(9.35±1.11)mm Hg(1 mm Hg=0.133 kPa),使用有創測壓裝置測齣的壓力為(9.25±1.12)mm Hg,P=0.428＞ 0.05,兩組數據間的差異無統計學意義,組內相關繫數ICC=0.973,認為兩組數據具有高度的一緻性.使用Whiteside法測量造模後實驗動物的骨觔膜室壓力為(29.95±2.17)mm Hg,使用有創測壓裝置測齣的壓力為(30.15±2.21)mm Hg,P=0.359＞ 0.05,兩組數據間的差異無統計學意義,組內相關繫數ICC=0.980,同樣認為兩組數據具有高度的一緻性.使用Whiteside法測量受測者的小腿脛前觔膜室壓力為(17.28±1.78)mm Hg,使用有創測壓裝置測量結果為(17.45±1.73)mm Hg,P=0.273＞ 0.05,兩組數據間的差異無統計學意義,組內相關繫數ICC=0.986,認為兩組數據具有高度的一緻性.另外,使用有創測壓裝置測量11例懷疑髮生骨觔膜室綜閤徵患者的患肢以及健側肢體的觔膜室壓力,併鑑測患者血壓,對比患側及健側肢體的骨觔膜室壓力差異併計算患者△P(舒張壓-觔膜室壓),指導臨床診療.結論 使用有創測壓裝置與Whiteside法測量實驗動物及健康成人誌願者的骨觔膜室壓力結果一緻,且前者可更準確地診斷骨觔膜室綜閤徵,具有推廣價值.
목적 탐토사용유창측압장치진단골근막실종합정적가행성급기림상의의.방법 이혈압계수대압박법건립신서란대백토골근막실종합정동물모형,분별사용유창측압장치급Whiteside법측량실험동물조모전후적골근막실압력.병채용통계학방법비교량충측압방법적측량결과.사용Whiteside법화유창측압장치대건강성인경전근막실압력진행측량.사용유창측압장치대림상부의발생골근막실종합정환자적근막실압력진행측량,지도림상상대골근막실종합정적진단여치료.결과 사용Whiteside법측량조모전실험동물적골근막실압력위(9.35±1.11)mm Hg(1 mm Hg=0.133 kPa),사용유창측압장치측출적압력위(9.25±1.12)mm Hg,P=0.428＞ 0.05,량조수거간적차이무통계학의의,조내상관계수ICC=0.973,인위량조수거구유고도적일치성.사용Whiteside법측량조모후실험동물적골근막실압력위(29.95±2.17)mm Hg,사용유창측압장치측출적압력위(30.15±2.21)mm Hg,P=0.359＞ 0.05,량조수거간적차이무통계학의의,조내상관계수ICC=0.980,동양인위량조수거구유고도적일치성.사용Whiteside법측량수측자적소퇴경전근막실압력위(17.28±1.78)mm Hg,사용유창측압장치측량결과위(17.45±1.73)mm Hg,P=0.273＞ 0.05,량조수거간적차이무통계학의의,조내상관계수ICC=0.986,인위량조수거구유고도적일치성.령외,사용유창측압장치측량11례부의발생골근막실종합정환자적환지이급건측지체적근막실압력,병감측환자혈압,대비환측급건측지체적골근막실압력차이병계산환자△P(서장압-근막실압),지도림상진료.결론 사용유창측압장치여Whiteside법측량실험동물급건강성인지원자적골근막실압력결과일치,차전자가경준학지진단골근막실종합정,구유추엄개치.
Objective To investigate the feasibility and clinical significance of diagnosis of osteofascial compartment syndrome using an invasive pressure measuring device.Methods Osteofascial compartment syndrome model was established in New Zealand White rabbits by sphygmomanometer cuff compression method.The pressure of the osteofascial compartment was measured by the invasive pressure measurement device and by the Whiteside method before and after estabhshment of the animal model,respectively.Values obtained by the two methods were compared and statistically analyzed.The Whiteside method and invasive pressure measurement device were then applied to detect pressure of the anterior compartment of the leg in healthy human adults.The invasive pressure measurement device was also used for detecting osteofascial compartment pressure in patients with clinical suspicion of osteofascial compartment syndrome,providing evidences for clinical diagnosis and treatment of compartment syndrome.Results The osteofascial compartment pressures detected by the Whiteside method and invasive pressure measurement device before model creation were (9.35 ± 1.11) mmHg and (9.25 ± 1.12) mmHg,respectively.There was no significant difference between the two measurements (P =0.428).The intraclass correlation coefficient (ICC) was 0.973,suggesting a high consistency between the two sets of data.The osteofascial compartment pressures detected by the Whiteside method and invasive pressure measurement device after model establishment were (29.95 ± 2.17) mmHg and (30.15 ± 2.21) mmHg,respectively.There was no significant difference between the two measurements (P =0.359).The ICC was 0.980,suggesting a high consistency between the two sets of data as well.The anterior compartment pressures of healthy subjects detected by the Whiteside method and invasive pressure measurement device were (17.28 ± 1.78) mmHg and (17.45± 1.73) mmHg,respectively,without any significant difference between the two measurements (P =0.273).The ICC was 0.986,suggesting a high consistency between the two sets of data.In addition,the invasive pressure measurement device was also used for detecting the osteofascial compartment pressure in both the affected limbs and healthy limbs of 11 patients with clinically suspected compartment syndrome.Their blood pressures were also monitored for comparing the difference of osteofascial compartment pressure between the affected limbs and healthy limbs,and for calculation of △P (diastolic pressure-compartment pressure).These data were used for guiding clinical diagnosis and treatment of osteofascial compartmentsyndrome.Conclusion Application of the invasive pressure measurement device and Whiteside method in detecting osteofascial compartment pressure achieved consistent results in experimental animals and healthy human adults.The former could diagnose osteofascial compartment syndrome more accurately,warranting its wide acceptance in clinical application.
