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Local Hyperbaric Oxygen Therapy in the Treatment of Diabetic Foot Ulcers
Background: Diabetes mellitus is one of the most common metabolic diseases. The most serious complication of diabetes is diabetic foot ulcer, which affects several million people around the world each year. In recent years, increasingly modern methods of physical medicine including hyperbaric oxygen...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9518160/ https://www.ncbi.nlm.nih.gov/pubmed/36078262 http://dx.doi.org/10.3390/ijerph191710548 |
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author | Pasek, Jarosław Szajkowski, Sebastian Oleś, Piotr Cieślar, Grzegorz |
author_facet | Pasek, Jarosław Szajkowski, Sebastian Oleś, Piotr Cieślar, Grzegorz |
author_sort | Pasek, Jarosław |
collection | PubMed |
description | Background: Diabetes mellitus is one of the most common metabolic diseases. The most serious complication of diabetes is diabetic foot ulcer, which affects several million people around the world each year. In recent years, increasingly modern methods of physical medicine including hyperbaric oxygen therapy have been used often in the complex therapy of this complication. Methods: This study included 45 patients, 24 male (53.3%) and 21 female (46.6%), whose age was between 49 and 83 years (mean age: 66.7 ± 8.8 years) with diabetes lasting for 1.5–18 years, who underwent local hyperbaric oxygen therapy at the pressure of 2.5 ATA (30 exposures for 30 min each) due to diabetic foot ulcers. The progress in wound healing before and after the end of therapy was evaluated by computerized planimetry, and the pain intensity was assessed with the use of a VAS. Results: The analysis of results showed a statistically significant reduction in the wound surface area after the treatment, from 8.54 ± 3.34 cm to 4.23 ± 3.23 cm² (p = 0.000001). In 5 patients (11.1%), the wounds were healed completely. In 25 patients (55.5%), the topical state of the wound surface was significantly decreased by 50% on average. There was also a significant reduction in the perceived pain on the VAS in all examined patients from 4.64 ± 1.68 points before treatment to 1.51 ± 0.92 points after treatment (p = 0.000001). Conclusions: The application of local HBO therapy in the treatment of diabetic foot ulcers accelerates the ulcer healing process, as judged in objective planimetric assessment, and reduces the intensity of perceived pain ailments. |
format | Online Article Text |
id | pubmed-9518160 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-95181602022-09-29 Local Hyperbaric Oxygen Therapy in the Treatment of Diabetic Foot Ulcers Pasek, Jarosław Szajkowski, Sebastian Oleś, Piotr Cieślar, Grzegorz Int J Environ Res Public Health Article Background: Diabetes mellitus is one of the most common metabolic diseases. The most serious complication of diabetes is diabetic foot ulcer, which affects several million people around the world each year. In recent years, increasingly modern methods of physical medicine including hyperbaric oxygen therapy have been used often in the complex therapy of this complication. Methods: This study included 45 patients, 24 male (53.3%) and 21 female (46.6%), whose age was between 49 and 83 years (mean age: 66.7 ± 8.8 years) with diabetes lasting for 1.5–18 years, who underwent local hyperbaric oxygen therapy at the pressure of 2.5 ATA (30 exposures for 30 min each) due to diabetic foot ulcers. The progress in wound healing before and after the end of therapy was evaluated by computerized planimetry, and the pain intensity was assessed with the use of a VAS. Results: The analysis of results showed a statistically significant reduction in the wound surface area after the treatment, from 8.54 ± 3.34 cm to 4.23 ± 3.23 cm² (p = 0.000001). In 5 patients (11.1%), the wounds were healed completely. In 25 patients (55.5%), the topical state of the wound surface was significantly decreased by 50% on average. There was also a significant reduction in the perceived pain on the VAS in all examined patients from 4.64 ± 1.68 points before treatment to 1.51 ± 0.92 points after treatment (p = 0.000001). Conclusions: The application of local HBO therapy in the treatment of diabetic foot ulcers accelerates the ulcer healing process, as judged in objective planimetric assessment, and reduces the intensity of perceived pain ailments. MDPI 2022-08-24 /pmc/articles/PMC9518160/ /pubmed/36078262 http://dx.doi.org/10.3390/ijerph191710548 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Pasek, Jarosław Szajkowski, Sebastian Oleś, Piotr Cieślar, Grzegorz Local Hyperbaric Oxygen Therapy in the Treatment of Diabetic Foot Ulcers |
title | Local Hyperbaric Oxygen Therapy in the Treatment of Diabetic Foot Ulcers |
title_full | Local Hyperbaric Oxygen Therapy in the Treatment of Diabetic Foot Ulcers |
title_fullStr | Local Hyperbaric Oxygen Therapy in the Treatment of Diabetic Foot Ulcers |
title_full_unstemmed | Local Hyperbaric Oxygen Therapy in the Treatment of Diabetic Foot Ulcers |
title_short | Local Hyperbaric Oxygen Therapy in the Treatment of Diabetic Foot Ulcers |
title_sort | local hyperbaric oxygen therapy in the treatment of diabetic foot ulcers |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9518160/ https://www.ncbi.nlm.nih.gov/pubmed/36078262 http://dx.doi.org/10.3390/ijerph191710548 |
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