Effects of Oxygen Therapy on Patients with a Chronic Wound: A Systematic Review and Meta-analysis

被引:1
作者
Du, Xinyan [1 ]
Zhang, Xuena [2 ]
Liu, Junxia [3 ]
Wang, Zhendi [1 ]
机构
[1] Hebei Med Univ, Hosp 4, Outpatient Dressing Room, Shijiazhuang, Peoples R China
[2] Hebei Med Univ, Dept Gen Surg 2, Hosp 4, Shijiazhuang, Peoples R China
[3] Hebei Med Univ, Dept Infect Dis, Hosp 4, Shijiazhuang, Peoples R China
关键词
adjunctive therapy; amputation; chronic wound; diabetic ulcer; meta-analysis; oxygenation; oxygen therapy; pressure injury; wound healing; venous ulcer; DIABETIC FOOT ULCERS; HYPERBARIC-OXYGEN; DOUBLE-BLIND; CONTROLLED-TRIAL; QUALITY; MULTICENTER; REDUCE; TISSUE; POINT; RISK;
D O I
10.1097/ASW.0000000000000131
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
ObjectiveTo synthesize the effects of oxygen-based therapy on patients with a chronic wound.Data SourcesThe authors searched PubMed, EMBASE, and Cochrane Central Register of Controlled Trials for relevant randomized controlled trials from database inception. Investigators measured risk of bias using the Cochrane Collaboration's Risk of Bias tool.Study SelectionThe included randomized controlled trials focused on the effects (short- or long-term wound healing, amputation rate, percentage of reduction in ulcer size, and poststudy transcutaneous oxygen measurement [TcPO2]) of oxygen-based therapy (including hyperbaric oxygen therapy, topical oxygen therapy, and continuous diffusion of oxygen) on patients with a chronic wound.Data ExtractionResearchers extracted information regarding participant characteristics and primary and secondary outcomes from the included studies.Data SynthesisPooled effects of 31 included studies showed that patients treated with oxygen had better short-term wound healing (risk ratio [RR], 1.544; 95% CI, 1.199 to 1.987), a higher percentage reduction in the ulcer area (standardized mean difference [SMD], 0.999; 95% CI, 0.439 to 1. 599), lower amputation rates (RR, 0.529; 95% CI, 0.325 to 0.862), shorter wound healing time (SMD, -0.705; 95% CI, -0.908 to -0.501), and higher poststudy TcPO2 (SMD, 2.128; 95% CI, 0.978 to 3.278) than those in the control group. For long-term wound healing, there was no statistically significant difference (RR, 1.227; 95% CI, 0.976 to 1.542).ConclusionsOxygen-based therapy improves short-term parameters of wound healing in patients with chronic wounds.
引用
收藏
页码:9 / 9
页数:1
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