Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

THE EMPIRICAL EXAMPLE OF HYPERBARIC OXYGEN USED IN THE EFFECTIVENESS OF DIABETIC WOUND HEALING

Author

Chen Mei Hua

Institution

Changhua Christian Hospital

Abstract

Objectives: Medical care in patients with diabetic foot wound infection rate has been moving up, look to the literature of hyperbaric oxygen therapy for wound healing in diabetic foot and lower infection rates, to improve the quality of medical care quality.

Methods: From the database into the Evidence- Based Medicine → Unfiltered Resources → Pub Med-keywords HBO AND HBO and diabetic foot AND hyperbaric oxygen therapy → Set five years, a total of 4 articles.

Results: Looking at the above analysis of four studies found that current clinical hyperbaric oxygen therapy is often used in carbon monoxide poisoning, diabetic foot, refractory wounds, osteomyelitis, and chronic stroke patients. Hyperbaric oxygen treatment required by the number of diseases and medical conditions may be. Hypoxia in the diabetic foot ulcer patients, is an important factor. Hyperbaric oxygen therapy can be corrected and the surrounding ischemia, increased fibroblast proliferation and collagen production, has bactericidal and bacteriostatic effects, so that aerobic and anaerobic bacteria through the action of the enzymes superoxide, in addition, oxygen vasoconstriction during hyperbaric oxygen therapy pressure occurs, reduce the capillary increased vascular permeability, increased extravascular fluid to reduce fluid absorption, and reduce edema. Hyperbaric oxygen therapy has been shown to promote healing of diabetic wounds, antibacterial, and the effect of new blood vessels, wound healing obvious beneficial effects, hyperbaric oxygen therapy can significantly accelerate wound healing and shorten hospital stay, high-pressure oxygen treatment for amputees suffering from a very significant the effect.

Conclusion: Presents the appearance of diabetic foot ulcers and the wound with a bad smell, often leading to poor prognosis must accept the amputation. Wound care for family members are often resistant to the current national health insurance program to provide hyperbaric oxygen therapy is limited, after debridement and antibiotic use is still valid, clinical consultation on the first orthopedic surgeons and hyperbaric oxygen for bulky specialist assessment test, good infection control and the preservation of peripheral blood circulation is extremely important to diabetic foot ulcer with severe infections can be arranged non- invasive peripheral vascular tests such as TCPO2 and ABI, peripheral vascular circulation is poor if an acceptable arterial angiography to assess whether the line should artery bypass, if no prior assessment of peripheral vascular conditions on the granting of hyperbaric oxygen therapy, hyperbaric oxygen cannot be made the biggest play of the features and the most economical and practical, hyperbaric oxygen therapy as adjuvant treatment of diabetic foot ulcers, allowing in need of treatment