1、2动脉压力和地球引力使动脉压力和地球引力使静脉丛充盈静脉丛充盈足底负重足弓展平瞬间足底负重足弓展平瞬间脉冲脉冲挤压静脉丛血液挤压静脉丛血液20-30 ml34567ICD-ICD-初始跛行距离初始跛行距离 -提高提高135%135%78191.5183Improving walking ability and ankle brachial pressure indices in symptomatic peripheral vascular disease with intermittent pneumatic foot compression:-Konstantinos T,JOURNAL
2、OF VASCULAR SURGERY April 20008124245Improving walking ability and ankle brachial pressure indices in symptomatic peripheral vascular disease with intermittent pneumatic foot compression:-Konstantinos T,JOURNAL OF VASCULAR SURGERY April 20009 腘动脉血流量腘动脉血流量-提高提高36%36%,提示侧枝循环开放,提示侧枝循环开放Improving walkin
3、g ability and ankle brachial pressure indices in symptomatic peripheral vascular disease with intermittent pneumatic foot compression:-Konstantinos T,JOURNAL OF VASCULAR SURGERY April 200010771966%83%91%71%有效标准:溃疡愈合,缩小,稳定,可接受手术治疗有效标准:溃疡愈合,缩小,稳定,可接受手术治疗无效标准:溃疡扩大或截肢无效标准:溃疡扩大或截肢Circulator boot therapy
4、alters the natural history of ischemic limb ulcerationAdrian Vella,Vascular Medicine 2000;5:212511表表1 1不同不同tcpo2tcpo2的伤口愈合情况的伤口愈合情况Intermittent Pneumatic Pump for nohealing wounds in patients with limb ischemiaMayo Clinic Experice V.M.Montori,International Angiology 2002,21表表22型糖尿病病人不同型糖尿病病人不同tcpo2t
5、cpo2的愈合情况的愈合情况12硬皮病硬皮病女,女,4848岁,中指溃疡岁,中指溃疡1.7X1.4 CM1.7X1.4 CM,持续,持续4545周,周,应用动静脉泵治疗应用动静脉泵治疗2121周周后,溃疡愈合后,溃疡愈合混合性结缔组织病混合性结缔组织病女,女,6161岁,右无名指岁,右无名指1.5X1.3CM 1.5X1.3CM 溃疡,之前溃疡,之前1212周包括交感神经阻滞术等周包括交感神经阻滞术等方法均无效,使用动静脉方法均无效,使用动静脉泵后疼痛立即减轻,泵后疼痛立即减轻,8 8周周后愈合。后愈合。Use of Intermittent Pneumatic Compression for
6、 Treatment of Upper Extremity Vascular Ulcers,David H.,Angiology Vol.56,200513 足泵足泵微循环之间的动静脉压差微循环之间的动静脉压差增加增加毛细血管前括约肌毛细血管前括约肌收缩反射消失收缩反射消失促使侧枝循环开放促使侧枝循环开放产生侧切力产生侧切力,促使促使NO1,PGI2,血管内皮因子等血管内皮因子等扩血管物质的增加扩血管物质的增加静脉压下降静脉压下降静脉压下降静脉压下降动脉血流速增加动脉血流速增加14A-V PumpImportance and Advantages of Intermittent Externa
7、l Pneumatic Compression Therapy in Venous Stasis Ulceration,Ufuk Alpagut,Angiology Vol.56,200515Foot and Ankle 1997;July;18(7):432-4381617181920血液淤滞血液淤滞高凝状态高凝状态血管内皮损伤血管内皮损伤2122EDRF23Mechanical prophylaxis of deep-vein thrombosis after total hip replacement.R.p.pitto,H.Hamer,W.Heiss,J.Kuehle J Bone Joint Surg(Br):2004;86-B:639-42 应用文献2425动静脉泵在跟骨关节内骨折围手术期的应用动静脉泵在跟骨关节内骨折围手术期的应用陈雁西陈雁西262728Eur J Vasc Surg 7(5):488-492;199329303132333435Thank You世界触手可及世界触手可及携手共进,齐创精品工程携手共进,齐创精品工程