4.5 Article

Therapeutic effect of continuous diffusion of oxygen therapy combined with traditional moist wound dressing therapy in the treatment of diabetic foot ulcers

Journal

DIABETES RESEARCH AND CLINICAL PRACTICE
Volume 174, Issue -, Pages -

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.diabres.2021.108743

Keywords

Diabetic foot ulcer; Oxygen therapy; Moist wound dressing; Wound closure

Funding

  1. Medical Science and Technology Foundation of Guangdong Province [A2019148]
  2. Nursing Research Project of the First Affiliated Hospital of Guangdong Pharmaceutical University [GYFYHL201806]
  3. Clinical Research Project of Integrated Traditional Chinese and Western Medicine on Prevention and Treatment of Glucose and Lipid Metabolism Diseases in the First Affiliated Hospital of Guangdong Pharmaceutical University [TZDXZX2019010]

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The combination of moist wound dressing (MWD) and continuous diffusion of oxygen (CDO) was found to be effective in promoting wound healing, reducing infection risk, and decreasing the amputation rate in diabetic foot ulcers (DFUs) patients.
Aims: To investigate the therapeutic effect of continuous diffusion of oxygen (CDO) com-bined with traditional moist wound dressing (MWD) on the diabetic foot ulcers (DFUs) inpa-tients.& nbsp; Methods: The inpatients from May 2016 to April 2018 were enrolled and randomly divided into MWD, CDO and combination treatment groups (n = 40 each group). The moist dressing was used in the MWD group while a micro-oxygen supply device was used in the CDO group. The combination treatment group was given both MWD and CDO. All patients were treated for 8 weeks. The wound healing, amputation rate, and inflammatory control were evaluated.& nbsp; Results: Compared with MWD and CDO groups, the combination group showed a higher wound healing rate (P < 0.05), lower white blood cell count (P < 0.05) and lower high-sensitivity C-reactive protein level (P < 0.05). During 1-year follow-up, the amputation rate was 0% in combination group, which was significantly lower than that in other two groups (P < 0.05).& nbsp; Conclusions: The combination of MWD and CDO was effective in promoting healing and preventing infection of DFUs, which holds a potential to be a new strategy for the treatment of this critical clinical condition.& nbsp; (c) 2021 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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