Extracorporeal circulation compression perfusion in the treatment of diabetic foot

NewsBot · Oct 26, 2021

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Successful application of
extracorporeal circulation
compression perfusion in
the treatment of diabetic
foot: a retrospective
cross-sectional study
Lei Gao et al
Journal of International Medical Research

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 (TcPO2) and infrared thermography (IRT). Wound healing time and ulcer recurrence rate 1 year after discharge were compared between the groups.
Results: TcPO2 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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