水素ウォッシュアウト法の整形外科領域への応用
The hydrogen washout technique, first described in 1964, enables regional tissue blood flow quantification by detecting molecular hydrogen oxidation current at a platinum electrode. This study applied the method to blood flow assessment in bone, muscle, skin, digits, and peripheral nerves within an orthopedic context. Experimental findings on adrenaline's influence on bone blood flow were detailed, and the technique was further used to map microcirculatory pathways, including nutrient routes to intervertebral discs. Because molecular hydrogen poses no known harm, clinical applications were also explored, encompassing blood flow evaluation in replanted digits, compartment syndrome diagnosis, and skin flap monitoring. Technical limitations and methodological considerations were additionally discussed.
Molecular hydrogen diffusing through tissue is oxidized to hydrogen ions at a platinum electrode, generating a small measurable current that reflects regional blood flow kinetics.
The delivery route is not clearly identifiable from this paper. For hydrogen intake, inhalation is the most efficient route; inhalation, however, carries explosion risk (empirical LFL of 10%; high-concentration devices are not recommended).
See also:
https://h2-papers.org/en/papers/7310209