同时评估封闭后血流介导的血管舒张在三个血管床

Jia-Jung Wang, Jia-Fu Yang, Chan-Ting Lin, W. Tseng
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摘要

内皮功能已被证明与心血管疾病风险密切相关。在这项研究中,测量了闭后血流介导的血管舒张(FMD),并用于评估三种不同血管床的内皮功能。在这项研究中招募了26名健康志愿者,并要求他们进行3分钟的左肱动脉闭塞。结果分析显示,气动振荡法测定的桡动脉FMD明显大于照相体积脉搏波法测定的手指小动脉及微血管FMD(122±61比87±56,p = 0.02)。激光多普勒血流法计算手指皮肤微循环FMD为118±68,与桡动脉FMD比较差异无统计学意义。由于变化系数较小,所提出的振荡技术可能成为评估外周动脉内皮功能的一种替代方法。
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Simultaneous assessment of postocclusive flow-mediated vasodilatation in three vascular beds
Endothelial function has shown to be strongly associated with cardiovascular risk. In the study, postocclusive flow-mediated vasodilatation (FMD) was measured and used to assess the endothelial function in three different vascular beds. Twenty-six healthy volunteers were recruited in the study and asked to undertake a 3-minute occlusion of left brachial arteries. Result analysis showed that FMD of radial arteries with the pneumatic oscillometry was found to be significantly greater than that of small arteries together with microvessels in fingers with the photo-plethysmography (122 ± 61 versus 87 ± 56, p = 0.02). Besides, FMD of skin microcirculation in fingers with the laser Doppler flowmetry was calculated to be 118 ± 68, with no significant level as compared with radial arterial FMD. Due to a smaller coefficient of variations, the oscillometric technique proposed may become an alternative for evaluating endothelial function of peripheral arteries.
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