Diyabetik el enfeksiyonları ve hiperbarik oksijen tedavisi

Year 2014, Volume: 48 Issue: 6, 649 - 654, 16.01.2015

Figen Aydin Ahmet Kaya Ahmet Savran Mustafa İncesu Cengiz Karakuzu Anil Murat Ozturk

https://doi.org/10.3944/AOTT.2014.3225

Abstract

Amaç: Bu çalışmanın amacı, hiperbarik oksijen tedavisi (HBOT) ile tedavi ettiğimiz diyabetli hastalardaki el enfeksiyonlarının klinik özelliklerinin ve sonuçlarının değerlendirilmesi idi.

Çalışma planı: Bu geriye dönük çalışmaya Ocak 2006-Şubat 2011 tarihleri arasında HBOT uygulanan 10 diyabet hastası dahil edildi.

Bulgular: Nekrotizan yumuşak doku enfeksiyonu nedeniyle 1 hastaya sağ el işaret parmağı proksimal interfalangeal eklem seviyesinden, diğer bir hastaya ise sol el üçüncü parmak distal falanks seviyesinden ampütasyon uygulandı. Sekiz olgudaki ülserler ise ampütasyona gerek kalmadan tamamen iyileşti.

Çıkarımlar: Standart tedaviye ek uygulanacak HBOT, doku oksijenlenmesini arttırarak ve bozulmuş yara iyileşmesini düzelterek diyabetik el ülserlerinin tedavisine katkıda bulunabilir.

Keywords

Ampütasyon; diyabetik el enfeksiyonu; hiperbarik oksijen tedavisi.

Diabetic hand infections and hyperbaric oxygen therapy

Abstract

Objective: The aim of this study was to discuss the clinical characteristics and results of hand infections in diabetic patients treated with hyperbaric oxygen therapy (HBOT).

Methods: This retrospective study included 10 patients with diabetes mellitus who underwent HBOT due to hand infections between January 2006 and February 2011.

Results: Amputation was performed at the level of the right hand index finger proximal interphalangeal joint in 1 patient and at the level of the distal phalanx of the left hand middle finger in 1 due to necrotizing soft tissue infection. Ulcers of 8 patients healed completely without amputation.

Conclusion: The addition of HBOT to the standard treatment may contribute to the healing of hand ulcers in diabetics by increasing the tissue oxygenation and correcting the process of disturbed wound healing.

Keywords

Amputation, diabetic hand infection, hyperbaric oxygen treatment

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