ABI踝臂指数检查.pptxVIP

ABI踝臂指数检查;动脉粥样硬化的主要临床表现;定义 PAD是动脉粥样硬化的一种类型,脂肪沿动脉管壁沉积,导致管腔的狭窄和阻塞性病变，主要损伤下肢和足部的动脉。 流行病学 有症状的PAD患者占55-74岁年龄段人群的4.5%，大约20%的老年人患有症状的或无症状的PAD。 ;危险因素;最容易的方法 ...;;;哪些人需要进行ABI检查？;解释检查程序 Explain and reassure patient of the procedure 保持室温舒适　Ensure ambient temperature of the room is comfortable, (Moffatt 1990) 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 Remove any dressings from current ulcers and cover with a clear film, (Kenny 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);正常静脉血流音 Sounds of normal vein;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 metatarsals. (K.R Vowden, 1996);足踝血压 Ankle Pressures 　Vascular Assessment Training Session - Introductory;足踝血压 Ankle Pressures 　Vascular Assessment Training Session - Introductory;ABI检查 How to examine the ABI 　Vascular Assessment Training Session - Introductory;;第16页/共39页;ABI结果解释 How to interpret the ABI 　Vascular Assessment Training Session - Introductory;ABI检查周期　Repeat ABI checks 　Vascular Assessment Training Session - Introductory;影响ABI结果的因素 Factors Affecting the Accuracy of the ABI 　Vascular Assessment Training Session - Introductory; 探头位置不正确 Incorrect position of Doppler probe over vessel 血压测量不正确 Incorrect pressure measurements 对血管施压过大 Excessive pressure on vessel during procedure 血管挤压　Collapses vessels 血圧袖带放气过快　Releasing sphyg cuff too rapidly 　Risk of missing systolic pressure point 血管加压时间过长　Prolonged inflation of the cuff/re-inflation 　Hyperemic effect on limb 血管反复加压　Mid procedure/repeated inflation (Vowden K. P. 1996) Hyperemic effect on limb 检测过程中探头移动　Moving Doppler during measurement Incorrect pressure measurement 检测经验不足　Inexperience of the procedure　(Anderson 1995) practical skill requiring assessment by peers;多普勒波形