糖尿病下肢血管检查
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Vascular Assessment Training Session - Introductory
ABI計算法 ABI calculations
足関節収縮期血圧最大測定値(両足) Highest ankle systolic pressure 上腕収縮期血圧最大測定値 Highest brachial systolic pressure
• 踝部血压用普通听诊器无法测得.BP measurement at the ankle using a Stethoscope are difficult (Yao 1993)
• 10%的病人缺失足背动脉的脉搏.10% of patients have absent Dorsalis Pedis pulses (Callam 1987)
Clinical Practice Guidelines (RCN 1998).
患者准备 Preparation of the Patient
Vascular Assessment Training Session - Introductory
• 解释检查程序 Explain and reassure patient of the procedure • 保持室温舒适 (Moffatt 1990) Ensure ambient temperature of the room is comfortable, • 松解上下肢体衣裤 Remove any tight clothing from both arms and stockings socks etc. from legs • 保护溃疡伤口 (Kenny Remove any dressings from current ulcers and cover with a clear film,
糖尿病下肢血管病变检查
Vascular Assessment
北京迪美德尔科技有限公司 医学部整理
Educational Programs Educating to perform
血管检查培训 Vascular Assessment
ABI(臂踝指数)检查 ABI Assessment 多普勒波形及声音 Doppler waveforms and sounds 足趾动脉PPG检查 Arterial PPG 足趾血压和TBI检查 TBPI using Arterial PPG PPG下肢静脉功能检查 Venous PPG
= 0.80
後脛骨動脈
Posterior Tibial
80
後脛骨動脈
Posterior Tibial
120
85
115
右ABI
RiBaidu Nhomakorabeaht ABI
上臂
Brachial
145
= 85 150
= 0.57
ABI计算 How to Calculate the ABI
Vascular Assessment Training Session - Introductory
上臂
Brachial
150
左ABI
Left ABI
= 120 150
ABI (踝臂指数) 检查
ABI Assessment
使用多普勒 Why Use Doppler
Vascular Assessment Training Session - Introductory
• 足部的触诊是不充分的.Palpation of foot pulses is not sufficient (Moffatt 1995)
metatarsals. (K.R Vowden, 1996)
後脛骨動脈が内果後方部を流れているため、触診や検査を行うのに適している 外側･内側足底動脈 貫通枝（深足底枝）
足踝血压 Ankle Pressures
Vascular Assessment Training Session - Introductory
• 右足背动脉收缩压 Right DP Systolic Pressure
足踝血压 Ankle Pressures
Vascular Assessment Training Session - Introductory
• 右胫后动脉收缩血压 Right PT Systolic Pressure
ABI检查 How to examine the ABI
• 正常动脉血流声
Sound of normal artery
• 正常静脉血流音
Sounds of normal vein
足の動脈 前面
足部动脉 Arteries of the Foot
Vascular Assessment Training Session - Introductory
腓骨動脈 前脛骨動脈
前腓骨動脈貫通枝 外側･内側足根動脈 弓状動脈 足背動脈
足底動脈弓
後脛骨動脈 後腓骨動脈貫通枝
The posterior tibial pulse is located in the hollow behind the medial malleolus, and the dorsalis pedis pulse is felt between the first and second
•所有存在溃疡的病人都需要有一个受过专业培训的人员使用多普勒 进行ABI检测来监测动脉病变的情况.All patients presenting with an ulcer should be
screened for arterial disease by Doppler measurement of ABI by staff who are trained to undertake this measurement.
1997) • 患者保持安静休息15－20分钟 Rest the patient for 15-20 minutes,
(Yao 1993; Williams 1993) • 患者仰卧 Position the patient supine, (Stubbing 1996)
血流声音
Vascular Assessment Training Session - Introductory
ABI計算法 ABI calculations
足関節収縮期血圧最大測定値(両足) Highest ankle systolic pressure 上腕収縮期血圧最大測定値 Highest brachial systolic pressure
• 踝部血压用普通听诊器无法测得.BP measurement at the ankle using a Stethoscope are difficult (Yao 1993)
• 10%的病人缺失足背动脉的脉搏.10% of patients have absent Dorsalis Pedis pulses (Callam 1987)
Clinical Practice Guidelines (RCN 1998).
患者准备 Preparation of the Patient
Vascular Assessment Training Session - Introductory
• 解释检查程序 Explain and reassure patient of the procedure • 保持室温舒适 (Moffatt 1990) Ensure ambient temperature of the room is comfortable, • 松解上下肢体衣裤 Remove any tight clothing from both arms and stockings socks etc. from legs • 保护溃疡伤口 (Kenny Remove any dressings from current ulcers and cover with a clear film,
糖尿病下肢血管病变检查
Vascular Assessment
北京迪美德尔科技有限公司 医学部整理
Educational Programs Educating to perform
血管检查培训 Vascular Assessment
ABI(臂踝指数)检查 ABI Assessment 多普勒波形及声音 Doppler waveforms and sounds 足趾动脉PPG检查 Arterial PPG 足趾血压和TBI检查 TBPI using Arterial PPG PPG下肢静脉功能检查 Venous PPG
= 0.80
後脛骨動脈
Posterior Tibial
80
後脛骨動脈
Posterior Tibial
120
85
115
右ABI
RiBaidu Nhomakorabeaht ABI
上臂
Brachial
145
= 85 150
= 0.57
ABI计算 How to Calculate the ABI
Vascular Assessment Training Session - Introductory
上臂
Brachial
150
左ABI
Left ABI
= 120 150
ABI (踝臂指数) 检查
ABI Assessment
使用多普勒 Why Use Doppler
Vascular Assessment Training Session - Introductory
• 足部的触诊是不充分的.Palpation of foot pulses is not sufficient (Moffatt 1995)
metatarsals. (K.R Vowden, 1996)
後脛骨動脈が内果後方部を流れているため、触診や検査を行うのに適している 外側･内側足底動脈 貫通枝（深足底枝）
足踝血压 Ankle Pressures
Vascular Assessment Training Session - Introductory
• 右足背动脉收缩压 Right DP Systolic Pressure
足踝血压 Ankle Pressures
Vascular Assessment Training Session - Introductory
• 右胫后动脉收缩血压 Right PT Systolic Pressure
ABI检查 How to examine the ABI
• 正常动脉血流声
Sound of normal artery
• 正常静脉血流音
Sounds of normal vein
足の動脈 前面
足部动脉 Arteries of the Foot
Vascular Assessment Training Session - Introductory
腓骨動脈 前脛骨動脈
前腓骨動脈貫通枝 外側･内側足根動脈 弓状動脈 足背動脈
足底動脈弓
後脛骨動脈 後腓骨動脈貫通枝
The posterior tibial pulse is located in the hollow behind the medial malleolus, and the dorsalis pedis pulse is felt between the first and second
•所有存在溃疡的病人都需要有一个受过专业培训的人员使用多普勒 进行ABI检测来监测动脉病变的情况.All patients presenting with an ulcer should be
screened for arterial disease by Doppler measurement of ABI by staff who are trained to undertake this measurement.
1997) • 患者保持安静休息15－20分钟 Rest the patient for 15-20 minutes,
(Yao 1993; Williams 1993) • 患者仰卧 Position the patient supine, (Stubbing 1996)
血流声音
Vascular Assessment Training Session - Introductory