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Does hyperbaric oxygenation therapy benefit in the treatment of non-healing wounds in diabetic patients?

机译:高压氧治疗对糖尿病患者的不愈合伤口有好处吗?

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As the incidence of diabetes mellitus type II is steadily increasing in our society, diabetic non-healing lower extremity wounds are complicating patient care. Hospitalization and amputation rates relating to diabetic lower extremity wounds are increasing causing concern relating to quality of life and healthcare expense. Treatment of these wounds can be difficult and alternative therapy such as hyperbaric oxygenation (HBO) is being used in clinical practice. A review of four studies challenging the HBO benefit in treating diabetic lower extremity non-healing wounds demonstrates a significant increase short term healing rates and reduction in amputation rates. However, results demonstrate no significant increase in long term healing rates. Multiple studies have been linked to the Undersea and Hyperbaric Medical Society, creating possible bias. More non-bias research should be performed to clearly demonstrate HBO benefits for diabetic non-healing wounds and to guide practitioners in treating diabetics with non-healing wounds.
机译:随着我们社会中II型糖尿病的发病率稳步上升,糖尿病无法治愈的下肢伤口使患者的护理变得更加复杂。与糖尿病下肢伤口有关的住院和截肢率正在增加,引起对生活质量和医疗保健费用的关注。这些伤口的治疗可能很困难,临床实践中正在使用替代疗法,例如高压氧(HBO)。一项针对HBO在治疗糖尿病下肢非愈合伤口方面的益处的四项研究的综述表明,短期治愈率显着提高,截肢率降低。但是,结果表明长期治愈率没有显着提高。多项研究与海底高压医学会相关联,造成了可能的偏差。应该进行更多的非偏见研究,以清楚地证明HBO对糖尿病不愈合伤口的益处,并指导从业者治疗不愈合伤口的糖尿病患者。

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