在严重下肢软组织损伤的管理中辅助高压氧疗法:系统性审查
Esmee Kwee1, Marieke Borgdorff2, Tim Schepers1
1Trauma Unit, Department of Surgery, Amsterdam UMC (Location AMC), J1A-214 Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
概括
高压氧气疗法 (HBOT) 在改善严重下肢压伤伤口的伤口愈合方面表现有前途. 这种疗法可以减少并发症和需要进一步的手术,当添加到标准的创伤护理.
科学领域:
- 整形外科 整形外科 整形外科
- 创伤外科 手术 创伤外科
- 伤口愈合 治愈 伤口愈合
背景情况:
- 严重的下肢压伤伤害经常导致严重的并发症.
- 高压氧气疗法 (HBOT) 是作为标准护理的辅助研究.
- HBOT可以减轻与伤害相关的并发症,并改善患者的治疗结果.
研究的目的:
- 系统地审查HBOT在治疗严重下肢软组织损伤方面的有效性.
- 评估HBOT对伤口愈合和并发症率的影响.
主要方法:
- 在Medline,Embase和Cochrane图书馆数据库中进行了系统的搜索.
- 研究包括下肢压伤患者接受HBOT与标准创伤护理.
- 提取了关于受伤类型,HBOT协议和伤口愈合结果的数据.
主要成果:
- 七项研究 (229名患者) 符合纳入标准,包括RCT,队列研究和病例报告.
- 有证据表明,HBOT显著改善了伤口愈合,并减少了手术干预.
- 通过HBOT,减少了组织死,感染率和长期并发症.
结论:
- 高压氧气疗法是标准创伤护理的安全补充,用于严重的下肢软组织损伤.
- 似乎HBOT对伤口愈合有积极的影响,并减少并发症发生率.
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