Presentation on theme: "Somdejprapinklao Hospital"— Presentation transcript:
1Somdejprapinklao Hospital Systemic hyperbaric oxygen accelerates the healing rate of diabeticFoot ulcers.Anucha Likitvong, Savit umpornarekun, Noraseth Aeonorasad, Sirirat kunajakDepartment of surgery and Department of under water MedicineSomdejprapinklao Hospital.
2BackgroundPatients with diabetes are at risk for foot ulcers. Diabetic foot ulcerCauses long-term admission of the patients. In addition toStandard multidisciplinary management, Hyperbaric oxygen is tobe studied for its effectiveness.
3Purpose To study the effect hyperbaric oxygen therapy on the healing of diabetic foot ulcers.
4Methods From 2002-2004,54 patients Wagner grades I-III foot ulcers were studiedSeparated the patient in two to groups- Standard treatment, standard treatment withhyperbaric oxygen therapy hyperbaric oxygen wasapplied twice a day, 5 days a week.Session lasted 90 min at 2.5 ATA.The main parameter studied was size of ulcer(Ulcer surface area)It was evaluated at 2 week,4 week.
5Study protocol Separated the patient in two to groups. From 2002 – 2004 , Wagner grade 1-3.Group I Group II- standard treatment. standard treatment withHyperbaric oxygen.standard treatment- Dressing wound- Board spectrum Antibiotic- DebridementHyperbaric oxygen- 5 days a week- Session lasted 90 min at 2.5 ATA.
6Result: - The size of ulcers in hyperbaric oxygen groups , Comparing to control groups was notsignificantly different( P > )- The size of ulcer in hyperbaric oxygen groupdecreased significantly ( P < 0.05 )
7Weekly mean ulcers area of the initial baseline pretreatment ulcer area for control and Hyperbaric oxygenUlcers surface areaNumber weeks post-op
8Conclusion : Hyperbaric oxygen therapy does not effect the healing rate of Diabetic foot ulcer.