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血氧饱和度监测与骨筋膜室内压测量在骨筋膜室综合征中的相关研究
Hits: 2292   Download times: 1440   Received:November 03, 2008    
作者Author单位UnitE-Mail
龚志锋 GONG Zhi-feng 泰顺县人民医院骨科,浙江 泰顺 325500 Department of Orthopaedics, Taishun People's Hospital,Taishun 325500,Zhejiang,China  
沈光程 SHEN Guang-cheng 泰顺县人民医院骨科,浙江 泰顺 325500 Department of Orthopaedics, Taishun People's Hospital,Taishun 325500,Zhejiang,China  
毛琦 MAO Qi 泰顺县人民医院骨科,浙江 泰顺 325500 Department of Orthopaedics, Taishun People's Hospital,Taishun 325500,Zhejiang,China  
池永龙 CHI Yong-long 温州医学院附属二院骨科  
期刊信息:《中国骨伤》2009年22卷,第5期,第365-366页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨血氧饱和度动态监测在骨筋膜室综合征的应用价值。

方法:20例骨筋膜室综合征患者,其中男13例,女7例;年龄13~60岁,平均32岁;胫腓骨骨折13例,胫骨平台骨折3例,股骨骨折4例。用血氧饱和度仪动态监测指(趾)端血氧饱和度(SpO2),同时采用改良Whiteside法测压装置监测骨筋膜室内压,对两组数据进行比较。

结果:在20例骨筋膜室综合征中,血氧饱和度动态监测到的数据与骨筋膜室内压测到的数据呈负相关性,血氧饱和度越高,骨筋膜室内压越低,反之也一样。

结论:应用血氧饱和度仪动态监测肢端SpO2的方法,能间接反映骨筋膜室内肌肉和神经的缺血情况,对骨筋膜室综合征作出早期诊断及处理。
[关键词]:血氧饱和度  骨筋膜室内压  骨筋膜室综合征
 
Comparative study of measuring pulse blood oxygen saturation and osteofascial compartmental pressure in forecasting osteofascial compartmental syndrome
Abstract:

Objective: To investigate of the value of monitoring of saturation of blood oxygen of the injured extremity on prevention of osteofascial compartmental syndrome.

Methods: Twenty patients of osteofascial compartmental syndrome included 13 male and 7 female with an average age of 32 years ranging from 13 to 60. There were 13 cases of tibial and fibual fractures,3 cases of tibial plateau fractures,4 cases of femoral shaft fractures. SpO2 on the end of injured extremities were dynamic monitored and osteofascial compartmental pressure was measured by modified Whiteside method. The data of two group were compared.

Results: Among 20 cases,it's negative correlation between the data of pulse blood oxygen saturation and osteofascial compartmental pressure.

Conclusion: The method of dynamic monitor extremity SpO2 can reflect indirectly the ischemia in muscle and nerve and report the early diagnosis and management of osteofascial compartmental syndrome.
KEYWORDS:Blood oxygen saturation  Osteofascial compartmental pressure  Osteofascial compartmental syndrome
 
引用本文,请按以下格式著录参考文献:
中文格式:龚志锋,沈光程,毛琦,池永龙.血氧饱和度监测与骨筋膜室内压测量在骨筋膜室综合征中的相关研究[J].中国骨伤,2009,22(5):365~366
英文格式:GONG Zhi-feng,SHEN Guang-cheng,MAO Qi,CHI Yong-long.Comparative study of measuring pulse blood oxygen saturation and osteofascial compartmental pressure in forecasting osteofascial compartmental syndrome[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(5):365~366
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