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  

Comparative study of measuring pulse blood oxygen saturation and osteofascial compartmental pressure in forecasting osteofascial compartmental syndrome

作　　者：龚志锋[1] 沈光程 毛琦[1] 池永龙[2] 

机构地区：[1]泰顺县人民医院骨科,浙江泰顺325500 [2]温州医学院附属二院骨科

出　　处：《中国骨伤》2009年第5期365-366,共2页China Journal of Orthopaedics and Traumatology

摘　　要：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。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.

关 键 词：血氧饱和度 骨筋膜室内压 骨筋膜室综合征 

分 类 号：R686.3[医药卫生—骨科学] R714.253[医药卫生—外科学]