新型水柱法测量骨筋膜室压强的实验研究  

An experiment research of intracompartmental pressure measured by the new water column method

作　　者：高阳[1] 陈安清[1] 汪娟[1] 李红霞[1] 龚昭惠[1] 

机构地区：[1]黄石市中心医院急诊科,湖北黄石435000

出　　处：《临床急诊杂志》2015年第4期284-286,共3页Journal of Clinical Emergency

摘　　要：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：Designing and validating a new method to measure intracompartmental pressure,and providing powerful basis for diagnosis of osteofascial compartment syndrome.Method：16rabbits were randomly divided into two groups.The first group was only anesthetized by urethane through ear vein.Using the new water column method to measure the intracompartmental pressure in left thigh,and using whiteside method to measure the intracompartmental pressure in right thigh.In the second group,both two thighs were compressed by air pressure tourniquet under 1million mpa for six hours when the second group was well anesthetized.Measuring the intracompartmental pressure in both thighs of the second group after releasing for two hours as likely as the first group.At last,pair T text was used to compare the result of the two methods.Result：There is no statistical differences between the left and right thighs’ intracompartmental pressure in both of the two groups.Conclusion：The new water column method could take the place of the whiteside method to measure the intracompartmental pressure.

关 键 词：骨筋膜室综合征 骨筋膜室压强 骨筋膜室切开 水柱 

分 类 号：R33[医药卫生—人体生理学]