Presentation on theme: "Somdejprapinklao Hospital"— Presentation transcript:
1 Somdejprapinklao 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.
2 BackgroundPatients 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.
3 Purpose To study the effect hyperbaric oxygen therapy on the healing of diabetic foot ulcers.
4 Methods 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.
5 Study 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.
6 Result: - 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 )
7 Weekly mean ulcers area of the initial baseline pretreatment ulcer area for control and Hyperbaric oxygenUlcers surface areaNumber weeks post-op
8 Conclusion : Hyperbaric oxygen therapy does not effect the healing rate of Diabetic foot ulcer.