Electrotherapy reverses inframalleolar ischemia: a retrospective, observational study.
Electrotherapy reverses inframalleolar ischemia: a retrospective, observational study.
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DOI：
10.1097/00129334-200303000-00009
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发表时间：
2003-03-01
影响因子：
2.4
通讯作者：
Golden, Michael
中科院分区：
文献类型：
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作者：
Goldman, Robert;Brewley, Barbara;Golden, Michael
目的：确定高压脉冲电流 (HVPC) 是否能促进缺血性伤口愈合并增加伤口周围灌注。设计：对连续 5 年不适合进行血运重建的缺血性伤口患者进行了一项为期 5 年的回顾性观察性研究。干预：将 HVPC 以大于 100 伏、每秒 100 个脉冲、每天 1 小时的电压直接应用于伤口。除了 HVPC 之外，患者还在研究机构接受了缺血性伤口的标准护理。没有临床指征或无法使用 HVPC 的缺血性伤口仅接受标准护理。 主要结果指标：通过面积测量法测量伤口面积，通过数字成像技术观察伤口外观，并通过经皮氧 (TcPo(2)) 水平监测微循环。 结果：与接受标准治疗的组相比，接受 HVPC 加标准护理的组在治疗开始后 20 至 52 周期间伤口面积较小 单独护理（P
OBJECTIVE: To determine if high-voltage pulsed current (HVPC) augments ischemic wound healing and increases periwound perfusion.DESIGN: A 5-year, retrospective, observational study was conducted on successive patients with ischemic wounds who were poor candidates for revascularization.INTERVENTION: HVPC was applied directly to wounds at greater than 100 volts, 100 pulses per second, 1 hour per day. In addition to HVPC, patients received standard care for ischemic wounds at the study facility. Ischemic wounds for which HVPC was not clinically indicated or not available received standard care alone.MAIN OUTCOME MEASURES: Wound area measured by planimetry, wound appearance observed by digital imaging techniques, and microcirculation monitored by transcutaneous oxygen (TcPo(2)) levels.RESULTS: The group that received HVPC plus standard care showed smaller wound areas from weeks 20 though 52 after the start of treatment compared with the group that received standard care alone (P