文章摘要
吴汉妮,孙晖.高压氧治疗糖尿病足的临床疗效[J].中华物理医学与康复杂志,2003,(6):。-
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高压氧治疗糖尿病足的临床疗效
  
DOI:
中文关键词: 高压氧  血液流变学  多普勒超声  神经传导  糖尿病足
英文关键词: Hyperbaric oxygenation  Hemorrheology  Doppler ultrasound  Nerve conduction  Diabetic foot
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作者单位
吴汉妮,孙晖 430022武汉华中科技大学同济医学院附属协和医院内分泌科 
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中文摘要:
      目的观察高压氧对糖尿病足的治疗作用。 方法将36例确诊为糖尿病足的患者随机均分为常规治疗组和高压氧治疗组,结合血液流变学、下肢血管多普勒、肌电图检测评价疗效。 结果高压氧治疗后,血液粘度显著降低(P<0.01);肢体彩色多普勒超声显像显示,下肢血管血流明显加快(P<0.01);神经电生理异常均有不同程度改善;足部症状明显缓解。 结论高压氧治疗糖尿病足,有助于糖尿病足尽早康复,对提高患者生活质量有积极作用。
英文摘要:
      Objective To compare the effects of hyperbaric oxygenation(HBO) and routine therapy on diabetic foot. MethodsThirty-six subjects were randomized to HBO and routine groups. In HBO group,patients stayed in 0.25 MPa HBO chamber for 100 min,wearing masks and inhaling pure oxygen for 60 min,with 10 min interval.This treatment was performed once a day for 10 times as a course,altogether 2 courses for each patient.By means of hemorrheology and electromyograghy (EMG), and the color Doppler ultrasonograghy of lower extremities for detection of the microcirculation states of lower limbs, thirty-six patients with diabetic foot were assessed. ResultsIn HBO group all of patients showed that the abnormalities in hemorrheologic, EMG parameters, and the arteria lesions as revealed by Doppler ultrasonograghy were improved more or less compared with before the treatment(P<0.01 or 0.05). ConclusionEarly rehabilitation with HBO may prevent the progress of diabetic foot.
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