高压氧气疗法与标准伤口护理相结合,与糖尿病足患者单独的标准伤口护理相比:前性比较研究
Aldrin L Myrthong1, Shrutika Gurav1, Suresh Mahankudo1
1General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Mumbai, IND.
Cureus
|January 2, 2025
概括
与标准伤口护理 (SWC) 结合的辅助高压氧疗法 (HBOT) 与单独的SWC相比,显著改善了糖尿病足 (DFU) 的愈合并减少了轻微的截肢. 这种疗法为DFU管理提供了一个有前途的方法.
科学领域:
- 血管外科 血管外科
- 伤口愈合 治愈 伤口愈合
- 高压医学的高压医学.
背景情况:
- 糖尿病足 (DFU) 构成下肢截肢的重大风险.
- 虽然建议辅助高压氧疗法 (HBOT) 可以加速愈合并降低截肢风险,但证据仍在争论中.
- 这项研究评估了HBOT加标准伤口护理 (SWC) 与单独使用SWC对DFU治疗的疗效.
研究的目的:
- 在DFU患者中,将辅助性HBOT与SWC的有效性和安全性与单独的SWC进行比较.
- 评估伤口缩小,伤床状况和并发症率.
- 为了确定对截肢发生率的影响.
主要方法:
- 一项前性随机受控研究,涉及60名患有DFU的成年患者.
- 患者被随机分为两个组:辅助性HBOT+SWC (n=30) 和单独的SWC (n=30).
- 在HBOT组接受了24次会议超过四周 (3.0 ATA,每天45分钟).
主要成果:
- 两组患者在4周后,疼痛,伤口大小和炎症均显著改善.
- 辅助性HBOT + SWC组表现出优异的疼痛和伤口大小减少,具有更健康的颗粒组织.
- 辅助性HBOT + SWC显著降低了轻微截肢发生率 (p=0.001),并有相似的并发症率.
结论:
- 与SWC结合的辅助性HBOT在促进DFU愈合方面比单独的SWC更有效.
- 这种联合疗法显著降低了DFU患者轻微截肢的发生率.
- HBOT为管理复杂的糖尿病足提供了有价值的辅助治疗.
相关概念视频
Traditional Level Of Health Care System
2.6K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.6K
Burn Injuries
2.3K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.3K
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
95
Oxygen therapy has emerged as a significant tool in enhancing the quality of life for patients suffering from pulmonary arterial hypertension (PAH). While this therapy has principally been studied on patients with significant hypoxemia, this therapeutic approach helps prevent potential organ damage and can be administered in the comfort of one's home.
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
95
Diabetes: Management and Pharmacotherapy
203
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
203


