PDF(Pubmed)
Abstract：
Background Non-union, chronic pain, functional disability, and infection are all things that have been associated with open fractures with severe soft tissue damage leading to the need for additional hospitalization, and sometimes even subsequent surgeries and weeks or months of rehabilitation. Open fractures and severe musculoskeletal injuries are occasionally treated with hyperbaric oxygen therapy (HBOT) in an effort to reduce the risk of complications and increase the likelihood of a successful recovery. Methods A prospective randomized controlled study was done between January 2019 and August 2022 at a tertiary health care center including 60 patients with a severe soft tissue injury (Grade II and III) divided into two groups - group-CT (30 patients who received conventional treatment) and group HT (30 patients, who received HBOT in addition to conventional treatment). The outcome was measured according to the Bates-Jensen Wound Assessment Tool. Results The wound size, depth, and granulation were significantly reduced in group-HT patients. In the final session, the patient\'s severity of the wound in group-HT was significantly reduced (P = 0.0001) compared to group-CT. Conclusions Patients who received HBOT reported a significant improvement in their wounds.
摘要：
背景非工会，慢性疼痛,功能性残疾，和感染都是与开放性骨折相关的严重软组织损伤导致需要额外住院治疗，有时甚至是随后的手术和数周或数月的康复。偶尔使用高压氧疗法（HBOT）治疗开放性骨折和严重的肌肉骨骼损伤，以降低并发症的风险并增加成功康复的可能性。方法2019年1月至2022年8月在三级卫生保健中心进行前瞻性随机对照研究，包括60例严重软组织损伤患者（II级和III级），分为两组-CT组（30例接受常规治疗）和HT组（30例，除了常规治疗外，还接受了HBOT）。根据Bates-Jensen伤口评估工具测量结果。结果伤口大小,深度,HT组患者的肉芽明显减少。在最后一次会议上,与CT组相比,HT组患者伤口严重程度显著降低(P=0.0001).结论接受HBOT的患者报告其伤口有显著改善。
