慢性糖尿病足不响应标准护理的辅助高压氧气治疗:一个病例报告
Sukriyadi Adi1, Ismail Ismail1, Sitti Rahmatiah1
1Nursing Department, Makassar Health Polytechnic, South Sulawesi, Indonesia.
BioMedicine
|March 9, 2026
概括
高压氧气疗法 (HBOT) 可以有效治疗抗标准护理的慢性糖尿病足 (DFU). 这种辅助治疗与现代伤口管理相结合,促进了糖尿病患者的愈合并降低了截肢风险.
科学领域:
- 医学科学 医学科学 医学科学
- 伤口治愈研究研究 伤口治愈研究
- 糖尿病学 糖尿病学
背景情况:
- 糖尿病足 (DFU) 是糖尿病的一个重要并发症.
- 慢性DFU往往抵制传统的伤口护理,需要先进的治疗.
- 高压氧气疗法 (HBOT) 显示出慢性伤口愈合的前景.
研究的目的:
- 介绍一个关于HBOT作为不治愈的DFU辅助疗法的疗效的案例研究.
- 评估HBOT对耐火性DFU患者伤口愈合的影响.
- 要突出HBOT在管理复杂的糖尿病足并发症中的作用.
主要方法:
- 一名66岁的男性患有2型糖尿病和慢性DFU,接受了35次HBOT (2.4 ATA,90分钟/次,每周5天).
- 治疗与水凝敷料和结构化的伤口护理策略相结合.
- 针对Klebsiella oxytoca感染进行了向性抗生素治疗.
主要成果:
- 该DFU显示显著的临床改善,包括减少胀和感染.
- 颗粒组织出现,并实现了几乎完全的上皮质化.
- 患者耐受HBOT很好,没有报告的并发症.
结论:
- 对于不响应标准护理的慢性DFU,HBOT可以是一个有益的辅助疗法.
- 将HBOT与现代伤口护理相结合可能会加速愈合并降低截肢风险.
- 需要进一步的研究来优化HBOT协议和选择患者的DFU.
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