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Hyperbaric oxygen therapy in diabetic foot.

Abstract
To study the effect of hyperbaric oxygen therapy in chronic diabetic foot lesions, a prospective controlled study was undertaken. Thirty diabetics with chronic foot lesions were randomised to study group (conventional management and 4 sessions of hyperbaric oxygen therapy) and control group (conventional management). The patients were assessed for average hospital stay, control of infection and wound healing. The control of infection spread was quicker. Positive cultures decreased from initial 19 to 3 in study group as against from 16 to 12 in the control group. (p < 0.05). This difference was most pronounced for Escherichia coli. Also, the need for major amputation was significantly less in the study group (n = 2) as against the control group (n = 7) (p < 0.05). The average hospital stay was not affected. We conclude that hyperbaric oxygen therapy can be safely used and is beneficial as an adjuvant therapy in chronic diabetic foot lesions.
AuthorsN Doctor, S Pandya, A Supe
JournalJournal of postgraduate medicine (J Postgrad Med) 1992 Jul-Sep Vol. 38 Issue 3 Pg. 112-4, 111 ISSN: 0022-3859 [Print] India
PMID1303408 (Publication Type: Clinical Trial, Comparative Study, Journal Article, Randomized Controlled Trial)
Topics
  • Aged
  • Amputation, Surgical
  • Bacterial Infections (complications)
  • Diabetes Complications
  • Diabetic Angiopathies (therapy)
  • Diabetic Neuropathies (therapy)
  • Female
  • Foot Diseases (etiology, therapy)
  • Gangrene
  • Humans
  • Hyperbaric Oxygenation
  • Length of Stay
  • Male
  • Middle Aged

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