在血液透析患者中,脚指数的时间变化导致了血液透析患者的结果
Belinda L Baines1, Timothy Pianta2,3, Mark Tacey4
1Podiatry & Orthotics Department, Northern Health, Epping, Australia.
PloS one
|April 25, 2024
概括
由于血压的变化,脚臂指数 (TBI) 测量在血液透析期间显著下降. 为了准确评估外围动脉疾病,TBI应在透析前或透析期间进行测量.
科学领域:
- 血管医学 血管医学
- 腎臟病學 (nephrology) 是一種醫學.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 脚臂指数 (TBI) 是外周动脉疾病 (PAD) 的一个关键预测指标.
- 在患有功能衰竭的患者中,TBI测量通常在血液透析期间进行,以方便.
- 血液透析对肢体和全身 perfusion 的影响,因此对 TBI 值的影响,需要进行彻底的评估.
研究的目的:
- 为了确定TBI值在血液透析期间和之后与透析前评估相比是否发生变化.
- 研究血液透析对TBI和脚压力的影响,用于脏衰竭患者.
主要方法:
- 采用了一种重复测量研究设计.
- 在31名血液透析患者中,用血管超声波多普勒测量了脚臂指数 (TBIs) 和脚压力.
- 在透析前进行了TBI评估,并与1,2,3小时和透析后获得的值进行了比较.
主要成果:
- 平均TBI从透析前的水平显著下降1小时 (0.72到0.63,p=0.01) 并且在3小时内保持较低.
- 透析期间平均静脉压也下降,与TBI变化相关.
- 在女性和有下肢病史的患者中观察到较低的TBI结果.
结论:
- 血液透析显著影响TBI和脚压力测量,导致变化.
- 理想情况下,TBI和脚压力评估应在血液透析开始之前或在治疗期间进行.
- 在功能衰竭患者中,准确的PAD评估需要定时TBI测量,以避免透析诱导的改变.
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