Successful application of extracorporeal circulation compression perfusion in the treatment of diabetic foot: a retrospective cross-sectional study

Autor: Lei Gao, Tianbo Li, Shuo Wang, Jiangning Wang
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of International Medical Research, Vol 49 (2021)
Druh dokumentu: article
ISSN: 1473-2300
03000605
DOI: 10.1177/03000605211053235
Popis: Objective To investigate the clinical effect of extracorporeal circulation compression perfusion (ECCP) in the treatment of diabetic foot. Methods We retrospectively evaluated 89 patients with diabetic foot admitted from January 2017 to April 2019. The patients were grouped according to whether they received ECCP treatment; experimental group: 27 patients, controls: 62 patients. After applying the inclusion criteria and exclusion criteria, there were 21 patients in the experimental group and 21 patients in the control group. Foot microcirculation was evaluated by measuring the percutaneous oxygen partial pressure (TcPO 2 ) and infrared thermography (IRT). Wound healing time and ulcer recurrence rate 1 year after discharge were compared between the groups. Results TcPO 2 and IRT values in the experimental group differed significantly compared with the control group. Foot ulcer healing time in the experimental group was shorter than that in the control group (17.10 ± 3.08 days vs 25.38 ± 4.40 days, respectively), and the recurrence rate after 1 year in the experimental group was lower than that in the control group (2/21, 9.5% vs 9/21, 42.8%, respectively). Conclusion ECCP improved foot microcirculatory perfusion in diabetic foot treatment. ECCP has clinical practicality and may accelerate wound healing speed and reduce ulcer recurrence.
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