Skin Perfusion Pressure and Wound Closure Time in Lower Extremity Wounds

Kazu Suzuki DPM, Zoe Birnbaum BS, Ryan Lockhart BS
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引用次数: 5

Abstract

Introduction

Peripheral Arterial Disease (PAD) affects approximately 8 million patients in the United States. We investigate the relationship of Skin Perfusion Pressure (SPP) and wound closure time in lower extremity wounds.

Methods

We conducted a retrospective study of 1125 lower extremity wounds in 998 patients between June 2006 and October 2014 in our wound clinic. We analyzed the relationship between SPPand wound closure time. SPP was measured using a Laser Doppler instrument.

Results

Patients with SPP values over 30 mmHg had shorter wound closure times, while patients with SPP values below 30 mmHg had a significantly longer wound closure time. Diabetic patients took longer to achieve wound closure compared to non-diabetics. No significant relationship was observed between SPP and wound closure time in relation to age or gender.

Conclusion

SPP is a useful tool in estimating time to wound closure and assessing the necessity of vascular interventions in lower extremity wounds.

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下肢创面皮肤灌注压与伤口愈合时间的关系
外周动脉疾病(PAD)在美国影响了大约800万患者。研究下肢创面皮肤灌注压(SPP)与伤口愈合时间的关系。方法对我院2006年6月至2014年10月收治的1125例下肢创面998例患者进行回顾性研究。我们分析了spp与伤口愈合时间的关系。采用激光多普勒仪测量SPP。结果SPP值大于30 mmHg的患者伤口愈合时间较短,而SPP值低于30 mmHg的患者伤口愈合时间明显较长。与非糖尿病患者相比,糖尿病患者需要更长的时间来完成伤口愈合。SPP与伤口愈合时间与年龄、性别无显著关系。结论spp是估计下肢创面愈合时间和评估血管介入必要性的有效工具。
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