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1 (3 ) * ١ : (IPC) Intermittent.. Pneumatic Compression. IPC. 0/9 (Ankle Bracial Index ) : Valk mmhg IPC 0/5 < (P=0/0001) valk (P=0/006) IPC :. IPC :. : -1-2 : mrmohajeri@tums.ac.ir : : : /06/22 : 89/05/14 : 89/02/28 :
2 :.[ ] ( IPC [11] [12 13]. IPC Sequential (2010 ) [14] () ) Valk. ( subjective / [15] 10. [16] 0/5 <. %3 [1] %7/7.[2].. ١..[3] ٢ (IPC).[4] [5].[6].[7] IPC [8-10] - ) 3- Ankle Brachial Index 1- Peripheral arterial obliterative disease 2- Intermittant Pneumattic Compression
3 ( 3 ) ATYS Valk. IPC. LSD test repeated measure ANOVA 16 SPSS. 0/05 P.. 14 (%22) 4 18 (57/3 ± 1/69 ) (%78). (14/7+1/2) repeated measure ANOVA (P=0/006) (P=0/018) LSD test. (P=0/022) (P=0/033) (P=0/008).(1 ) (P=0/018) Valk ( ) ( ) 10. IPC [7] 120 mmhg (long sitting)... Valk Mark III plux IPC DR. Life MOOR MBF3D
4 : ( ) ( 10 ) ( ) ( 22) IPC LSD test repeated measure ANOVA -1 Valk.(2 ) (P=0/000).(P=0/001) (1 5 10). LSD test repeated measure ANOVA Valk -2.( 10 ) ( 22) IPC
5 ( 3 ) [22] [8]. IPC IPC Urbanic ( ).[23]. (P=0/0001) Valk (P=0/001) IPC (2006). vaccum compression therapy.[4] IPC. (Transcutaneous oxygen pressure)tcpo2. IPC IPC 1 (P=0/006). (P=0/018) IPC Morries. IPC.[7] [17-19] IPC.[17] Mokhtar Clark IPC.[11 12] Kavros IPC.[20] ) 2010 ( ) GCSF IPC (.[21]. IPC
6 : Esteghamati A, Gouya MM, Abbasi M, et al. Prevalence of Diabetes and Impaired Fasting Glucose in the Adult Population of Iran. Diabetes Care 2008; 31: :(3 ) Quattrini C, Harris N, Malik RA, Tefaye S. Impaired Skin Microvascular Reactivity in Painful Diabetic Neuropathy. Diabetes Care 2007; 3: (VCT) Vasotrain Yagihashi S, Yamagishi SH, Wada R. Pathology and pathogenetic echanisms of diabetic neuropathy: Correlation with clinical signs and symptoms. Diabetes Res Clin Pract 2007; 77: Shapiro SA, Stansberry KB, Hill MA, Meyer MD, Mcnitt PM, Vinik AL. Normal Blood Flow Response and Vasomotion in the Diabetic Charcot Foot. J Diabetes Complications 1998; 12: Morris RJ, Woodcock JP, Finstp C. Effects of Supine Intermittent Compression on Arterial Inflow to the Lower Limb. Arch surgery 2002; 137: Labropoulos N, Leon L R, Bhatti A, Melton S, Kang SS, Mansour MA, Borge M. Hemodynamic effects of intermittent pneumatic compression in patients with critical limb ischemia. J Vasc Surg 2005; 42: Chen LE, Liu K, QI K, Joneschild E, Tan X, Seaber AV, Stamler JS, Urbaniak JR. Role of IPC IPC. Nerve Conduction ). (Velocity IPC ( ). IPC IPC nitric oxide in vasodilation in upstream muscle during intermittent pneumatic compression. J Appl Physiologhy 2002; 92: Chen AH, Frangos SG, Kilaru S, Sumpio BE. Intermittent Pneumatic Compression Devices, Physiological Mechanisms of Action. J Vasc Endovasc Surg 2001; 21: Clark M. Diabetes self-management education: A review of published studies. Prim care diabetes 2008; 2: Mokhtar S, Azizi ZA, Govindarajanthran N. A Prospective Study to Determine the Effect of Intermittent Pneumatic Foot and Calf Compression on Popliteal Artery Peak Systolic Blood Flow. Asian J Sur 2008; 3: Labropoulos N, Waston WC, Mansour MA, Kang SS, Littooy FN, Baker WH. AcuteEffects of Intermittent Pneumatic Compression on Popliteal Artery Blood Flow. Arch surg 1998; 133: American Diabetes Association. Standards of medicale care in diabetes. Diabetes Care 2010; 33: S4-S5. Vaccum..15 Compression Therapy Santos D, Carline T, Richmond R, Abboud R J. A review of the effects of external pressure on skin blood flow. The Foot 2003; 13: Delis KT, Nicolaides N, Wolfe JH. Peripheral Sympathetic Autoregulation in Arterial Calf Inflow Enhancement with Intermittent Pneumatic Compression. J Vasc Endovasc Surg 2001; 22: Kakkos SK, Geroulakos G, Nicolaides AN. Improvement of the Walking Ability in Intermittent Claudication due to Superficial
7 ( 3 ) Femoral Artery Occlusion with Supervised Exercise and Pneumatic Foot and Calf. J Vasc Endovasc Surg 2005; 30: Brett A. Intermittent Pneumatic Compression for Arterial Claudication. Journal Watch 2005; 8(25): Kavros SJ, Delis KT, Turner NS, Voll AE, Liedl DA, Gloviczki P, Rooke TW.Improving limb salvage in critical ischemia with intermittent pneumatic compression: acontrolled study with 18-month follow-up. J Vasc Surg 2008; 47(3): Darwin E, Hong Yu. Enhanced cell therapy strategy to treat chronic limb-threatening ischemia. J Vasc Surg 2010; 52: Delis KT, Husman MW, Nicolaides N, Wolfe JH, Cheshire NJ. Enhancing Foot Skin Blood Flux in Peripheral Vascular Disease Using Intermittent Pneumatic Compression. J surg 2002; 26: Urbanc V, Stefanovskab A, Bernjak K, Kocijanc A. Skin Blood Flow in the Upper and Lower Extremities of Diabetic Patients with and without Autonomic Neuropathy. J vasc Res 2004; 41:
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