G. Grohmann et al., To the macro- and microcirculation on the fore foot under different compression pressure in healthy female probands, PHLEBOLOGIE, 29(5), 2000, pp. 114-123
Aim and methods: The aim of this study was to investigate the macro- and mi
crocirculation on the fare foot of healthy Female probands undergoing dosed
compression of whole leg. The macro- and microcirculation were investigate
d using a combination of measuring ankle pressure by means of doppler ultra
sound, near-infrared-red-remission-photoplethsymography (NIRP) resp. laser
doppler flowmetry (LDF), transcutaneous measuring of oxygen.(tcpO(2)) and c
orbondioxyde pressure (tcpCO(2)) and NIRP-method before and after 5 minutes
compression with 10, 20, 30, 40 resp. 50 ton under resting conditions in a
total of 13 healthy women, mean age 33,4 +/- 16,8 years. Results: Ankle pr
essure, tcpO(2), tcpCO(2) were nearly constant. LDF-flux and hematocrit sho
wed an significant downward (p <0,01 rsp. p <0,05) with rising compression
pressure above 20 tori. The peripheral microcirculatory coefficient pMC est
imated by means of NIRP-method was reduced significantly (p <0,05) above a
compression pressure of 10 torr. The spectral number M(LF)o was changed sca
rcely whereas the number M(LF)v was rising significantly (p <0,05 rsp. 0,01
). The pulse ration PQ was reduced significantly (p <0,05) whereas the peak
time T-G and the turning-paint time T-W were reduced significantly (p <0,0
1) above 10 resp. 30 torr. Conclusion: In healthy probands a compression pr
essure up to 50 torr does not lead to a detoriation in the macrocirculation
but there will be on influence of compression to the microcirculation.