AN OBJECTIVE ASSESSMENT OF INTERMITTENT CLAUDICATION BY NEAR-INFRARED SPECTROSCOPY

被引:56
作者
KOMIYAMA, T [1 ]
SHIGEMATSU, H [1 ]
YASUHARA, H [1 ]
MUTO, T [1 ]
机构
[1] UNIV TOKYO,FAC MED,DEPT SURG 1,7-3-1 HONGO,BUNKYO KU,TOKYO 113,JAPAN
来源
EUROPEAN JOURNAL OF VASCULAR SURGERY | 1994年 / 8卷 / 03期
关键词
NEAR-INFRARED SPECTROSCOPY; INTERMITTENT CLAUDICATION; TISSUE OXYGENATION; TREADMILL TEST;
D O I
10.1016/S0950-821X(05)80144-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Changes in tissue oxygenation in the calf muscle were measured by near-infrared spectroscopy (NIRS) in 62 patients who complained of intermittent claudication in the calf during a treadmill test. Three distinctive patterns of oxygenated and deoxygenated haemoglobin were observed. None of the type 0 cases were severe (i.e., unable to walk for more than 5 minutes), while 37 and 82% of the type 1 and type 2 cases were severe, respectively. The mean maximum walking distance of type 1 was significantly longer than that of type 2 (179 ± 70 m and 109 ± 46 m, respectively; p < 0.005), while the mean ankle-brachial pressure index at rest of type 1 was not significantly different from that of type 2 (0.68 ± 0.19 and 0.61 ± 0.23, respectively). Our results indicate that NIRS can be used to accurately assess the severity of intermittent claudication. © 1994 W. B. Saunders Company Ltd.
引用
收藏
页码:294 / 296
页数:3
相关论文
共 8 条
[1]  
Seiyama, Hazeki, Tamura, Noninvasive quantitative analysis of blood oxygenation in rat skeletal muscle, J Biochem, 103, pp. 419-424, (1988)
[2]  
Jobsis, Noninvasive infrared monitoring of cerebral and myocardial oxygen sufficiency and circulatory parameters, Science, 198, pp. 1264-1267, (1977)
[3]  
Hampson, Piantadosi, Near infrared monitoring of human skeletal muscle oxygenation during forearm ischaemia, J Appl Physiol, 64, pp. 2449-2457, (1988)
[4]  
Cheatle, Potter, Cope, Delpy, Coleridge Smith, Scurr, Near-infrared spectroscopy in peripheral vascular disease, Br J Surg, 78, pp. 405-408, (1991)
[5]  
Wyatt, Cope, Delpy, Et al., Measurement of optical pathlength for cerebral near-infrared spectroscopy in newborn infants, Dev Neurosci, 12, pp. 140-144, (1990)
[6]  
Yoshioka, Hasegawa, Matsuo, Et al., Quantitative measurements of cerebral blood volume in neonates by near-infrared spectroscopy with multi-points method: a preliminary report, Igaku-no Ayumi, 164, 11, pp. 831-832, (1993)
[7]  
Patterson, Chance, Wilson, Time resolved reflectance and transmittance for the non-invasive measurement of tissue optical properties, Applied Optics, 28, pp. 2331-2336, (1989)
[8]  
Cui, Kumar, Chance, Experimental study of migration depth for the photons measured at sample surface, SPIE Vol. 1431 Time-resolved Spectroscopy and Imaging of Tissue, pp. 180-191, (1991)