肢位の違いが下肢皮膚灌流圧に与える影響

  • 川﨑 東太
    佐賀大学大学院医学系研究科 国際医療福祉大学福岡リハビリテーション学部 理学療法学科
  • 上村 哲司
    佐賀大学医学部 形成外科
  • 松尾 清美
    佐賀大学医学部 地域医療科学教育研究センター
  • 村田 知之
    佐賀大学大学院医学系研究科

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  • シイ ノ チガイ ガ カシ ヒフカンリュウアツ ニ アタエル エイキョウ

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The purpose of this study is to examine the influence of the skin perfusion pressure of lower limbs by the difference of the leg position, and to use it in a clinical practice. The subjects were assumed to be ten healthy, young adults (4 males and 6 females). The skin perfusion pressure of lower limbs was measured in four positions (supine, lower limbs elevation, bed elevation 20°, and sitting position). The measurements were taken in two places, the dorsum of foot and the plantar of foot right lower extremity. Moreover, the systolic blood pressure, the diastolic blood pressure, and the pulse rate of right lower extremity were measured. The skin perfusion pressure of the lower limbs rose significantly compared with the supine and the lower limbs elevation when the lower limbs were lowered from the cardiac position (p<0.01, p<0.05). A positive correlation was shown between skin perfusion pressure and the systolic blood pressure. As for the bed elevation 20°, the lower limbs skin perfusion pressure rose significantly more than the supine and the lower limbs elevation.

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