高压氧疗法对心理状态和伤口愈合的影响:病例报告。

IF 1 4区 医学 Q4 DERMATOLOGY
Flavia Tasmin Techera Antunes, Mariana Campos Duarte Machado, Alice Bartolomeu Garavini, Vanice Paula Ricardo Carvalho, Alessandra Hubner de Souza
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引用次数: 0

摘要

背景:高压氧疗法(HBOT)是一种在加压舱中为患者提供高浓度氧气的疗法,已在临床实践中用于改善伤口愈合。目的:研究高压氧治疗对一名无糖尿病的女性患者的影响,该患者的非典型伤口已持续 9 年,且无愈合迹象,同时还伴有心身因素:该患者在 2.4 ATA(大气绝对压力)条件下接受了 20 次 HBOT 治疗,每次 120 分钟,为期 4 周,每周一至周五进行一次,每天更换一次含有银、海藻酸盐和羧甲基纤维素的非粘附性敷料。在治疗前和治疗一年后进行了 36 项简表健康调查和医院焦虑抑郁量表生活质量问卷调查。HBOT 治疗后,伤口得到了完全持久的缓解,生活质量以及焦虑和抑郁程度也得到了主观改善:结论:HBOT 对伤口愈合具有众所周知的治疗效果,而且还可能对心身机制产生重大影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effect of hyperbaric oxygen therapy on psychological state and wound healing: a case report.

Background: Hyperbaric oxygen therapy (HBOT), in which patients receive high concentrations of oxygen in a pressurized chamber, has been used in clinical practice to improve wound healing. More recent applications of HBOT have resulted in successful management of a wide range of conditions; however, the psychosomatic factors associated with these conditions remain understudied and require clarification.

Purpose: To investigate the effects of HBOT in a female patient without diabetes who presented with an atypical wound of 9 years' duration with no sign of healing as well as with psychosomatic factors.

Case report: The patient underwent 20 once-daily sessions of HBOT for 120 minutes per session every Monday through Friday for 4 weeks at 2.4 ATA (atmosphere absolute pressure) and received daily dressing changes with a nonadherent dressing containing silver, alginate, and carboxymethylcellulose. The 36-Item Short Form Health Survey and the Hospital Anxiety and Depression Scale quality-of-life questionnaires were administered before treatment and after 1 year of treatment. HBOT resulted in complete lasting wound remission as well as subjective improvement in quality of life and in levels of anxiety and depression.

Conclusion: HBOT has known therapeutic effects on wound healing, and it may also have a substantial effect on psychosomatic mechanisms.

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来源期刊
Wound management & prevention
Wound management & prevention Nursing-Medical and Surgical Nursing
CiteScore
1.70
自引率
8.30%
发文量
41
期刊介绍: Information not localized
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