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目的探讨高压氧(HBO)对糖尿病足的治疗效果。方法内分泌科收治的糖尿病足患者70例,随机分为2组:对照组35例采用常规治疗,观察组35例在对照组基础上加高压氧治疗,疗程30d。结合2组的临床表现、下肢动脉峰值血流速度和肌电图评价疗效。结果治疗后观察组总有效率(82.86%)较对照组(62.86%)增高,但差异无统计学意义(P>0.05);观察组下肢动脉峰值血流速度和神经传导速度均高于对照组(P均<0.05)。结论高压氧可以改善糖尿病足患者下肢的血流速度和周围神经传导速度,促进溃疡愈合,是治疗糖尿病足的有效方法。
Objective To investigate the therapeutic effect of hyperbaric oxygen (HBO) on diabetic foot. Methods Seventy patients with diabetic foot admitted to Department of Endocrinology were randomly divided into 2 groups: 35 cases in the control group received routine treatment, 35 cases in the observation group were treated with hyperbaric oxygen on the basis of the control group, and the course of treatment was 30 days. Combined with the clinical manifestations of the two groups, the lower extremity arterial peak blood flow velocity and electromyography evaluation efficacy. Results After treatment, the total effective rate (82.86%) in observation group was higher than that in control group (62.86%), but the difference was not statistically significant (P> 0.05). The peak blood flow velocity and nerve conduction velocity of lower extremity in observation group were higher than those in control group (P <0.05). Conclusion Hyperbaric oxygen can improve blood flow velocity and peripheral nerve conduction velocity in the lower extremities of diabetic foot patients and promote the healing of ulcer. It is an effective method to treat diabetic foot.