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高压氧治疗烧伤患者的疗效

Therapeutic Outcome of Burn Patients Treated With Hyperbaric Oxygen.

作者信息

Alyafi Tawfeik, Al-Marzouki Al-Hasan H, Al Hassani Abdulaziz N

机构信息

Plastic and Reconstructive Surgery, National Guard Health Affairs, Jeddah, SAU.

College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.

出版信息

Cureus. 2021 Oct 11;13(10):e18671. doi: 10.7759/cureus.18671. eCollection 2021 Oct.

DOI:10.7759/cureus.18671
PMID:34786252
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8579880/
Abstract

Amongst various interventions for burns and inhalation injuries, hyperbaric oxygen therapy (HBOT) has recently been widely integrated as an adjunctive management of care due to its therapeutic properties in reducing tissue hypoxia, pathological inflammation, and augmenting neovascularization. However, the limitation of human clinical trials and data undermines its efficacy to be implemented as an adjunctive therapeutic modality in burns. The purpose of the literature review is to determine the efficacy of HBOT as an adjunct to standard management in burns. A review of the literature was done by searching PubMed, Cochrane, Medline, EMBASE, and Google Scholar for papers addressing the comparison of therapeutic outcomes between HBOT and non-HBOT in burns. Current research findings are conflicting, and the use of HBOT as an adjunct in burns management is still controversial. Therefore there is still a need for more data and research on the therapeutic benefits of HBOT in burn management.

摘要

在针对烧伤和吸入性损伤的各种干预措施中,高压氧疗法(HBOT)近来已被广泛纳入辅助治疗方案,因为它在减轻组织缺氧、病理性炎症以及促进新血管形成方面具有治疗特性。然而,人体临床试验和数据的局限性削弱了其作为烧伤辅助治疗手段的有效性。本综述的目的是确定高压氧疗法作为烧伤标准治疗辅助手段的疗效。通过检索PubMed、Cochrane、Medline、EMBASE和谷歌学术,对相关文献进行了综述,以查找涉及高压氧疗法与非高压氧疗法在烧伤治疗效果比较方面的论文。当前的研究结果相互矛盾,在烧伤治疗中使用高压氧疗法作为辅助手段仍存在争议。因此,仍需要更多关于高压氧疗法在烧伤治疗中益处的数据和研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d29b/8579880/f493430dd9d7/cureus-0013-00000018671-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d29b/8579880/f493430dd9d7/cureus-0013-00000018671-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d29b/8579880/f493430dd9d7/cureus-0013-00000018671-i01.jpg

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本文引用的文献

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Effects of hyperbaric oxygen therapy on the healing of thermal burns and its relationship with ICAM-1: A case-control study.高压氧疗法对热烧伤愈合的影响及其与细胞间黏附分子-1的关系:一项病例对照研究。
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Update on hyperbaric oxygen therapy in burn treatment.高压氧疗法在烧伤治疗中的新进展。
Wien Klin Wochenschr. 2021 Feb;133(3-4):137-143. doi: 10.1007/s00508-019-01569-w. Epub 2019 Nov 7.
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Hyperbaric Oxygen Therapy for Second-Degree Burn Healing: An Experimental Study in Rabbits.高压氧疗法促进二度烧伤愈合:一项在兔子身上的实验研究。
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Evaluation of prognostic factors affecting lenght of stay in hospital and mortality rates in acute burn patients.影响急性烧伤患者住院时间和死亡率的预后因素评估。
Ann Burns Fire Disasters. 2018 Jun 30;31(2):83-88.
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Adjunctive hyperbaric oxygen therapy in severe burns: Experience in Taiwan Formosa Water Park dust explosion disaster.严重烧伤的辅助高压氧治疗:台湾八仙乐园粉尘爆炸灾难中的经验
Burns. 2017 Jun;43(4):852-857. doi: 10.1016/j.burns.2016.10.016. Epub 2016 Dec 27.
8
Hyperbaric oxygen therapy attenuates central sensitization induced by a thermal injury in humans.高压氧疗法可减轻热损伤在人体中诱导的中枢敏化。
Acta Anaesthesiol Scand. 2015 Jul;59(6):749-62. doi: 10.1111/aas.12492. Epub 2015 Mar 3.
9
Is HBOT treatment effective in recovering zone of stasis? An experimental immunohistochemical study.高压氧治疗在恢复淤血区方面是否有效?一项实验性免疫组织化学研究。
Burns. 2010 Jun;36(4):539-44. doi: 10.1016/j.burns.2009.06.210. Epub 2009 Sep 18.
10
Effects of hyperbaric oxygen therapy on fibrovascular ingrowth in porous polyethylene blocks implanted under burn scar tissue: an experimental study.高压氧治疗对烧伤瘢痕组织下植入的多孔聚乙烯块中纤维血管内生的影响:一项实验研究。
Burns. 2008 Jun;34(4):467-73. doi: 10.1016/j.burns.2007.04.014. Epub 2007 Sep 25.