الفهرس 
Diabetic footOnly 14 pages are availabe for public view
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Abstract
Summary and conclusion
Patients with DM are prone to multiple complications such as
diabetic foot ulcer. DFU is a common complication of DM that
has shown an increasing rate over previous decades.
Treatment of diabetic foot ulcers should include : blood
sugar control, removal of dead tissue from the wound, wound
dressings, and removing pressure from the wound through
techniques such as total contact casting.If an ulcer does not heal
with standard wound care, other therapeutic interventions are
offered, one of which is hyperbaric oxygen therapy (HBOT)
One characteristic of chronic wounds is that the wound
tissues are hypoxic (have low oxygen levels). Hyperbaric oxygen
therapy (HBOT) is a treatment designed to increase the supply of
oxygen to wounds that are not responding to other treatments.
HBOT involves people breathing pure oxygen in a specially
designed compression chamber.
The aim of this study was to evaluate the effect of HPOT on
the diabetic foot ulcer outcome.
This study was carried out on 30 patients with chronic
diabetic foot wound of about 30 days or more of standard wound
care with no improvement. Patients were selected from Vascular
Surgery Unit, Faculty of Medicine, Tanta University and were managed at Physical Medicine, Rheumatology and Rehabilitation
department in Tanta University Teaching Hospital.
The selected patients were divided into two groups:
- group A (study group): 15 patients were treated
with HBOT in combination with the conventional therapy.
- group B (control group): 15 patients were treated
with conventional therapy alone.
All patients were subjected to the following assessment
Compelete history taking.
General examination.
Local examination of the affected limb including:
1-Vascular examination
2-Neurological examination
3-Ulcer assessment:site, measurements, presence of exudates
and type and percentage of granulation tissue covering the ulcer.
The results of this study could be summarized as follows:
1) Regarding the need for debridement:
There was a statistical significant difference between
two groups regarding need for debridement with a less need for repeated debridement in patients treated with HBOT
denoting lesser rate of tissue devitalization and necrosis on
using HBOT.
2) Regarding the surface area of the wound:
The mean surface area was reduced significantly after HBOT
in group A than in group B after the end of treatment and follow
up.
3) Regarding the healthy granulation tissue covering the
ulcer:
Surface area covered with healthy granulation tissue was
increased in group A than in group Bafter the end of treatment and
follow up.
Conclusion:
So from this study, it can be concluded that:
Hyper baric oxygen therapy isan effective adjunctive
treatment for diabetic foot wounds. It improves healing in people
with diabetes with foot ulcers and reduces the risk of lowerextremity
amputation that is a major complication of diabetic foot
ulcer.