الفهرس | Only 14 pages are availabe for public view |
Abstract Summary and conclusion Patients with DM are prone to multiple complications such as diabetic foot ulcer. DFU is a common complication of DM that has shown an increasing rate over previous decades. Treatment of diabetic foot ulcers should include : blood sugar control, removal of dead tissue from the wound, wound dressings, and removing pressure from the wound through techniques such as total contact casting.If an ulcer does not heal with standard wound care, other therapeutic interventions are offered, one of which is hyperbaric oxygen therapy (HBOT) One characteristic of chronic wounds is that the wound tissues are hypoxic (have low oxygen levels). Hyperbaric oxygen therapy (HBOT) is a treatment designed to increase the supply of oxygen to wounds that are not responding to other treatments. HBOT involves people breathing pure oxygen in a specially designed compression chamber. The aim of this study was to evaluate the effect of HPOT on the diabetic foot ulcer outcome. This study was carried out on 30 patients with chronic diabetic foot wound of about 30 days or more of standard wound care with no improvement. Patients were selected from Vascular Surgery Unit, Faculty of Medicine, Tanta University and were managed at Physical Medicine, Rheumatology and Rehabilitation department in Tanta University Teaching Hospital. The selected patients were divided into two groups: - group A (study group): 15 patients were treated with HBOT in combination with the conventional therapy. - group B (control group): 15 patients were treated with conventional therapy alone. All patients were subjected to the following assessment Compelete history taking. General examination. Local examination of the affected limb including: 1-Vascular examination 2-Neurological examination 3-Ulcer assessment:site, measurements, presence of exudates and type and percentage of granulation tissue covering the ulcer. The results of this study could be summarized as follows: 1) Regarding the need for debridement: There was a statistical significant difference between two groups regarding need for debridement with a less need for repeated debridement in patients treated with HBOT denoting lesser rate of tissue devitalization and necrosis on using HBOT. 2) Regarding the surface area of the wound: The mean surface area was reduced significantly after HBOT in group A than in group B after the end of treatment and follow up. 3) Regarding the healthy granulation tissue covering the ulcer: Surface area covered with healthy granulation tissue was increased in group A than in group Bafter the end of treatment and follow up. Conclusion: So from this study, it can be concluded that: Hyper baric oxygen therapy isan effective adjunctive treatment for diabetic foot wounds. It improves healing in people with diabetes with foot ulcers and reduces the risk of lowerextremity amputation that is a major complication of diabetic foot ulcer. |