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目的:设计并验证一种新方法来测量骨筋膜室压强,为诊断骨筋膜室综合征提供有力依据。方法:将16只家兔随机分为2组,每组8只,第1组家兔乌拉坦耳缘静脉麻醉后,不给特殊处理,用新型水柱法测量左侧大腿骨筋膜室内压强,用Whiteside法测量右侧大腿骨筋膜室压强;第2组家兔乌拉坦耳缘静脉麻醉后,用2件气压止血带同时压迫家兔左右大腿6h,压强维持在1 Mpa,在解除压迫后2h测量每只家兔左右两侧大腿骨筋膜室压强,测量方法同第1组。最后用配对t检验方法比较新型水柱法及Whiteside法二者测得数据的差异。结果:第1组家兔两侧大腿骨筋膜室压强差异无统计学意义,第2组家兔两侧大腿骨筋膜室压强差异无统计学意义。结论:新型水柱法能够代替传统Whiteside法来测量骨筋膜室压强。
OBJECTIVE: To design and validate a new method to measure the pressure in the compartment of the fascia and provide a powerful basis for the diagnosis of compartment syndrome. Methods: Totally 16 rabbits were randomly divided into 2 groups with 8 rats in each group. The rabbits in the first group were not given special treatment after being anesthetized in the urethane veins of the rabbits. The pressure in the left femoral fascia was measured by a new water column method. The pressure of the right femoral fascia was measured by Whiteside method. The rabbits in the second group were anesthetized with urethane auricle vein, and the left and right thighs of the rabbits were simultaneously compressed with 2-pressure tourniquet for 6 hours. The pressure was maintained at 1 Mpa. 2h measurement of left and right sides of each rabbit femoral compartment pressure, measuring method with the first group. Finally, paired t test was used to compare the difference between the new water column method and Whiteside method. Results: There was no significant difference in the pressure of the femoral fascia between the two groups in the first group. There was no significant difference in the pressure in the femoral fascia between the two groups. Conclusion: The new water column method can replace the traditional Whiteside method to measure the compartment pressure.