摘要
[目的]与Whiteside法比较,探讨垂直水柱测压法诊断骨筋膜室综合征的可行性与实用性。[方法]自2008年l～5月招募健康成年志愿者50例,其中男35例,女15例,年龄18～45岁。垂直水柱测压法采用常规的静脉输液系统和刻度尺,Whiteside法采用汞柱血压表、三通管和注射器等。比较两种方法对50例正常受试者的胫前骨筋膜压的测量结果。另应用垂直水柱法对10例怀疑骨筋膜室压增高的骨折患者的对侧健肢、患肢测压,评价临床疗效与诊断的符合率。[结果]所有受试者均配合完成胫前筋膜室压力的测定,垂直水柱法测定正常成年人的胫前筋膜室压力(19.86±5.63)mmHg(1mmHg=0.133kPa),Whiteside法(20.19±5.43)mmHg,两组间比较无明显的统计学差别(P>0.05),应用垂直水柱法对10例怀疑骨筋膜室压增高的骨折患者的测量结果显示患肢的压力均明显高于健侧,根据所测压力结果对伤肢处理,疗效较好,与诊断相符。[结论]垂直水柱测压法的应用效果与传统Whiteside法相一致,客观准确,但其操作简便,易于普及,更具应用优势。
[Objective] To investigate the feasibility of using vertical water column pressure method by comparing with Whiteside＇s method for osteofascial compartment syndrome.[Method]From January 2008 to May 2008,50 appropriately healthy people,including 35 male and 15 female,the range of age being from 18 to 45 years,were enlisted for the experiment.Both traditional venous transfusion needle and graduated scale were used for vertical water column pressure method,and sphygmomanometer,T-Joint pipes and syringe were used for Whiteside＇s method.The pressures of the two methods were recorded and compared systematically.In additional,the pressure of the both wrong side and good side for 10 patients who were suspected having osteofascial compartment syndrome were measured,and conformity rate of clinical and diagnoses were identical.[Result]All respondents accomplished the experiment.No significant differences between vertical water column pressure method （19.86±5.63 mmHg） and Whiteside＇s method （20.19±5.43 mmHg） were found between the two groups （P0.05）.The pressures of wrong side for the 10 patients suspected having osteofascial compartment syndrome were higher than that of the good side,and the clinical effects were accorded with the diagnoses.[Conclusion]Compared with Whiteside＇s method,vertical water column method is a simple,objective,accurate and easy method for measuring osteofascial compartment pressures.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2011年第4期296-298,共3页
Orthopedic Journal of China
基金
广西科学基金合同项目(编号:桂科自0447072)
