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논문 기본 정보

자료유형
학술저널
저자정보
Jung-Nam Kwon (원광대학교 산본한방병원) Whan-Bong Lee (원광대학교 산본한방병원)
저널정보
대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.82 No.2
발행연도
2012.2
수록면
94 - 100 (7page)

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초록· 키워드

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Purpose: The aim of this study was to evaluate screening methods in the lower extremities by measurement of the digital pulse oximetry (oxygen percent saturation [SpO₂]) of toes for peripheral arterial disease (PAD). Methods: A prospective study was performed among 49 patients (98 limbs) with lower extremity arterial occlusive disease. We attempted to measure the ankle-brachial index (ABI), digital pulse oximetry (SpO₂), and computerized tomographic angiography (CTA). Patients were divided into three groups by the traditional Fontaine classification system by symptom and CTA criteria: 1) Critical limb ischemia (Fontaine Ⅲ and Ⅳ), 2) Claudication; (Fontaine Ⅱ), and 3) asymptomatic limbs (Fontaine Ⅰ). Results: The sensitivity, specificity, positive and negative predictive values between active treatment groups (group Ⅰ and Ⅱ; endovascular and open surgery) and conservative group (group Ⅲ) are all statistically significant. ABI; 55.09%, 94%, 96.7%, 39.02% (R = 12.54, P < 0.000) SpO₂; 87.06%, 87.8%, 84.3%, 90% (R = 40.11, P < 0.000). Pre-SpO₂ and pre-ABI all show statistically significant correlation in group Ⅰ vs. group Ⅱ, symptomatic PAD (group Ⅰ and Ⅱ) vs. asymptomatic PAD (group Ⅲ), and the total PAD comparison. The Pearson’s correlation coefficient between SpO₂ and ABI all show significant correlation in group Ⅱ. Pre-SpO₂ vs. Pre-ABI show strong positive correlation except asymptomatic group (group Ⅲ). Conclusion: Digital pulse oximetry can be a useful, simple, noninvasive screening device as well as ABI in PAD.

목차

INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
ACKNOWLEDGEMENTS
REFERENCES

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