Observation on the clinical effects of hyperbaric oxygen on the patients with calcaneal fracture complicated with diabetes mellitus following surgery
10.3760/cma.j.issn.1009-6906.2017.04.015
- VernacularTitle:高压氧对跟骨骨折合并糖尿病患者术后的临床效果观察
- Author:
Yunxiang LI
1
;
Qiaoping GAO
;
Xuechen HUO
Author Information
1. 烟台市烟台山医院,山东省烟台,264000
- Publication Type:Journal Article
- Keywords:
Hyperbaric oxygen;
Diabetics;
Calcaneal fracture;
Blood glucose;
Incision healing
- From:
Chinese journal of nautical medicine and hyperbaric medicine
2017;24(4):301-304
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects of hyperbaric oxygen on the control of serum glucose and healing of incision in the patients with calcaneal fracture complicated with diabetes mellitus following surgery.Methods Sixty cases of calcaneal fracture complicated with diabetes mellitus hospitalized from August 2015 to August 2016 were designated as the HBO group and the control group,in accordance with different wards designated,and each group consisted of 30 cases.The patients in the control group were given conventional postsurgical treatment and nursing,such as elevation of the affected limb,control of blood glucose,repercussion and promotion of bone healing,while the patients in the HBO group received HBO therapy,in addition to conventional therapy and nursing.Serum glucose level and healing of incision 2 weeks after surgery were closely observed and compared between the patients of the 2 groups.Results There was no statistical significance in the level of fasting blood glucose and glycosylated hemoglobin for the patients of the HBO group on the first day after surgery,as compared with those of the control group (P ＞ 0.05).Fasting blood glucose levels of the HBO group on the third,seventh and tenth days after surgery were respectively (5.5 ± 1.1) mmol/L,(5.4 ± 1.2) mmol/L and (5.2 ± 1.2) mmol/L,while those of the control group were (7.6 ± 0.7) mmol/L,(7.4 ± 0.9) mmol/L and (7.5 ± 0.9) mmol/L respectively.Blood glucose levels 2 hours after meal for the HBO group were respectively (8.4 ± 1.1) mmol/L,(7.9 ± 1.2) mmol/L and (8.2 ± 1.2) mmol/L,while those for the control group were (10.5 ± 1.1) mmol/L,(10.4 ± 1.2) mmol/L and (10.9 ± 1.2) mmol/L respectively.Glycosylated hemoglobin level for the patients of the HBO group on the seventh day after surgery was(6.7 ±0.4)％,while that of the control group was (7.3 ±0.6)％,which was obviously higher than that of the observation group.Statistical significance could be seen,when comparisons were made between the 2 groups (P ＜0.01).Clinical efficacy of wound healing 2 weeks after surgery for the experimental group was obviously better than that of the control group,also with statistical significance (P ＜ 0.05).Conclusions HBO therapy after surgery could effectively control serum glucose level and promote incision healing in the patients with calcaneal fracture combined with diabetes mellitus.
