Department of Plastic and Reconstructive Surgery, Kansai Medical University, 2-5-1, Shin-Machi, Hirakata, Osaka, 573-1010, Japan.
J Med Case Rep. 2022 Nov 21;16(1):434. doi: 10.1186/s13256-022-03654-7.
In recent years, the number of patients with ischemic skin ulcers due to diabetes mellitus and arteriosclerosis obliterans are increasing. Accordingly, endovascular therapy, drugs, and various wound dressings have been developed and applied to diabetic foot ulcers, and negative-pressure wound therapy, which often requires expensive and burdensome procedures for medical personnel, has also become popular. So simple and minimal invasive home treatment by the patient or their caregiver is required.
The present patient (77 years old, male, Asian) had developed left sole ulcers with draining pus that were resistant to conventional treatment, and he suffered from gait disturbance. We report a case of metatarsal osteomyelitis in a patient with diabetes mellitus and arteriosclerosis obliterans, in whom artificial carbon dioxide foot bathing and povidone-iodine sugar ointment were used continuously to promote bone and joint regeneration, and skin ulcer healing.
A simple therapeutic intervention with artificial carbon dioxide foot bathing and povidone-iodine sugar ointment can improve not only ischemic skin ulcers, but also the bone and joint regeneration of ischemic limbs. This therapy can lead to a reduction in healthcare costs for a huge number of diabetic patients.
近年来，由于糖尿病和动脉硬化闭塞症导致缺血性皮肤溃疡的患者数量不断增加。因此，已经开发并应用了各种血管内治疗、药物和伤口敷料来治疗糖尿病足溃疡，负压伤口治疗也很流行，但其通常需要医务人员进行昂贵且繁琐的操作。因此，需要患者或其护理人员进行简单和微创的家庭治疗。
本患者（77 岁，男性，亚洲人）左足底溃疡并伴有脓液排出，常规治疗无效，且步态不稳。我们报告了一例糖尿病合并动脉硬化闭塞症患者的跖骨骨髓炎病例，该患者持续使用人工二氧化碳足浴和聚维酮碘糖膏来促进骨和关节再生以及皮肤溃疡愈合。
人工二氧化碳足浴和聚维酮碘糖膏这种简单的治疗干预措施不仅可以改善缺血性皮肤溃疡，还可以促进缺血肢体的骨和关节再生。这种治疗方法可以为大量糖尿病患者降低医疗保健成本。
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