Effects of vacuum compression therapy on skin microcirculation in patients suffering from lower limb ischaemia.

摘要: Background : We investigated the short-term effect of vacuum compression (VC) treatment on skin microcirculatory perfusion in foot patients with lower limb ischaemia and healthy controls. Patients Methods Ten intermittent claudication or rest pain 5 controls underwent vacuum-compression for half an hour. The leg was positioned air-tight plexiglass cylinder which hypobaric (-115 mm Hg) hyperbaric (75 pressure could be generated alternately order to improve peripheral circulation. microcirculation using nailfold capillary microscopy (measuring nutritive perfusion), laser Doppler fluxmetry (LDF) (total perfusion) transcutaneous oxygen tension measurements (TcpO 2 ). Results: A few experienced ischaemic symptoms during VC, probably because pinched off through inflation cuff In both microscopic parameters did not change significantly. some cases, decreased had cooled treatment. Application a heating matrass annihilated this effect. Only patient group LDF- TcpO improved slightly, but Conclusion: Vacuum-compression therapy only slightly improves total oxygenation, microcirculation, being essential factor occurrence symptoms. therefore conclude that instrument its present form is aid ischaemia.