Department of Angiology and Vascular Surgery, Hospital do Divino Espírito Santo EPE, Ponta Delgada, Portugal.
Subaquatic and Hyperbaric Medicine Unit, Hospital do Divino Espírito Santo EPE, Ponta Delgada, Portugal.
Foot Ankle Surg. 2014 Jun;20(2):140-3. doi: 10.1016/j.fas.2014.02.004. Epub 2014 Feb 28.
The aim of this study is to evaluate the role of hyperbaric oxygen in the treatment of diabetic foot ulcers.
We performed a retrospective observational study of all patients with diabetic foot ulcers treated at the Institution's hyperbaric chamber between January 2010 and August 2012. Patient data was obtained upon patient hospital visit and prospective clinical record consultation.
Twenty-six foot lesions including 13 foot ulcers Wagner grade 2 or greater and 13 amputation stump ulcers were submitted to hyperbaric oxygen therapy between January 2010 and August 2012 in our Institution. Of these, 23 foot lesions completed treatment and complete epithelialization of the primary lesion was achieved in 15 (65%). The mean healing period since the first hyperbaric oxygen therapy session was 16 weeks. Above-ankle amputations were performed in 3 limbs and transmetatarsal amputations in 2 limbs.
Hyperbaric oxygen may be associated with ulcer healing in selected diabetic foot ulcers with impaired cicatrization.
本研究旨在评估高压氧在治疗糖尿病足溃疡中的作用。
我们对 2010 年 1 月至 2012 年 8 月在我院高压氧舱治疗的所有糖尿病足溃疡患者进行了回顾性观察研究。患者数据通过住院就诊和前瞻性临床记录咨询获得。
2010 年 1 月至 2012 年 8 月，我院对 26 处足部病变（包括 13 处 Wagner 分级 2 级或更高级别的足部溃疡和 13 处截肢残端溃疡）进行了高压氧治疗。其中 23 处足部病变完成了治疗，15 处（65%）原发性病变完全上皮化。自第一次高压氧治疗以来的平均愈合时间为 16 周。3 条肢体进行了踝关节以上截肢，2 条肢体进行了跖骨间截肢。
高压氧可能与某些伴有愈合不良的糖尿病足溃疡的愈合有关。
