高压氧气疗法可以减少疼痛和治愈疼痛的慢性伤口,包括在calciphylaxis
E Pathault1, S Sanchez2, B Husson1
1Department of Dermatology, Reims University Hospital, Reims, France.
Annales de dermatologie et de venereologie
|November 23, 2024
概括
高压氧气疗法 (HBOT) 显著减少了慢性伤病患者的疼痛和强烈的阿片类药物使用,不包括糖尿病足. 这种辅助疗法也促进了大多数参与者的伤口愈合.
科学领域:
- 伤口愈合研究研究研究
- 高压医学是高压医学.
- 疼痛管理 疼痛管理
背景情况:
- 高压氧气疗法 (HBOT) 已因其在伤口愈合方面的好处而闻名,特别是在糖尿病足方面.
- 关于HBOT在其他慢性疼痛伤口中的疗效的证据仍未得到充分研究.
研究的目的:
- 研究HBOT在糖尿病足之外的慢性疼痛伤口的有效性和安全性.
- 评估HBOT后疼痛水平和止痛药消耗的变化.
主要方法:
- 一项回顾性单一中心研究包括了从2008年到2021年对止痛药不反应的慢性伤口和疼痛患者.
- 疼痛的评估是通过对止痛药的消费变化,直到HBOT后12个月.
- 创伤愈合状态 (完全或部分) 也被记录下来.
主要成果:
- 18名患者患有各种慢性伤口 (囊炎,血管炎,高血压腿部等). 进行了分析.
- 在18名患者中,15名 (83.3%) 患者的止痛药需求减少,包括强度阿片类药物使用显著下降 (72.2%至11.1%).
- 在83.3%的患者中,在平均3.9个月内观察到局部伤口改善.
结论:
- 对于各种来源的慢性疼痛伤口,HBOT是一种有效的辅助疗法.
- 由于HBOT显著降低了对强阿片类药物的依赖,这对于经常出现不良反应至关重要.
- 建议进行进一步的前性,受控研究来验证这些发现.
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