负压疗法治疗肢体缺血  

Therapy of limb ischaemia with negative pressure

作　　者：宁莫凡[1] 马中[1] 杨振东[1] 陈美芬[1] 姚青[1] 

机构地区：[1]第四军医大学西京医院血管外科,西安710033

出　　处：《第四军医大学学报》1998年第4期424-425,共2页Journal of the Fourth Military Medical University

摘　　要：评价负压疗法对肢体缺血的治疗效果．方法：1985－07～1995－03，我们应用自行研制的治疗机，对167例（231个肢体）肢体缺血患者进行了负压治疗，其中动脉硬化性闭塞症62例（91肢），血栓闭塞性脉管炎75例（93肢），雷诺综合征30例（47肢）．治疗时将患肢置入密闭舱内，压力范围为－8．66kPa～－17．3kPa，一般上肢为－10．7kPa，下肢为－13．3kPa．结果：显效117肢（50．64％），进步111肢（48．05％），无效3肢（1．31％），总有效率98．69％．结论：负压疗法无痛苦、无损害，对肢体缺血疗效良好，可作为一种非手术疗法．Aim: To evaluate the therapeutic effects of negative pressure on limb ischaemia. Methods: A total of 167patients (including 231 limbs) with limb ischaemia, ofwhom 62 (91 limbs) were afflicted with atherosclerosisobliterans, 75 (93 limbs) with thromboangiitis obliteransand 30 (47 limbs) with Raynaud's syndrome, were involvedin the study undertaken from July 1985 to March 1995.They received limb negative pressure treatment with the instrument designed by ourselves. The ischaemic limb to betreated was put into a sealed chamber, in which the pressure was adjusted within the range between-8. 6kpa^-17. 3kpa, usually,-10. 7 kpa for arms and -13. 3 kpa forlegs. Results: The significant effect was shown in 117 limbs(50. 64%), in which the symptoms disappeared completelyor nearly; the condition of 111 limbs (48. 05%)were improved to a certain degree; only 3 limbs (1. 31 % )remained unrelieved. The overall effective rate was up to98. 69%. Conclusion: The negative pressure therapy is effective and causes no pain or harm to patients. Therefore itis recommended as an alternative of non-operative clinicalapproach to limb ischaemia.

关 键 词：肢体缺血 血栓闭塞性 脉管炎 动脉硬化 负压疗法 

分 类 号：R543.5[医药卫生—心血管疾病] R454.9[医药卫生—内科学]