The use of hyperbaric oxygen therapy in the treatment of hand crush injuries

被引:1
作者
Chang, Dun-Hao [1 ,2 ,3 ]
Hsieh, Chi-Ying [1 ]
Chang, Che-Wei [1 ]
Wang, Hsu-Hui [4 ,5 ]
Chang, Hou-Tai [4 ,6 ,7 ,8 ]
机构
[1] Far Eastern Mem Hosp, Dept Surg, Div Plast & Aesthet Surg, New Taipei City, Taiwan
[2] Natl Yang Ming Chiao Tung Univ, Sch Med, Taipei, Taiwan
[3] Yuan Ze Univ, Dept Informat Management, Taoyuan, Taiwan
[4] Far Eastern Mem Hosp, Ctr Hyperbar Oxygen, New Taipei City, Taiwan
[5] Far Eastern Mem Hosp, Dept Chest Med, New Taipei City, Taiwan
[6] Far Eastern Mem Hosp, Dept Crit Care Med, New Taipei City, Taiwan
[7] Yuan Ze Univ, Dept Ind Engn & Management, Taoyuan, Taiwan
[8] Far Eastern Mem Hosp, Ctr Hyperbar Oxygen, 21 Sec 2 Nanya S Rd, New Taipei City 220, Taiwan
关键词
crush injury; hand trauma; hyperbaric oxygen therapy; wound healing; MANAGEMENT;
D O I
10.1111/wrr.13134
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Hyperbaric oxygen therapy (HBOT) has been used as an adjuvant treatment for crush injury because it can improve tissue hypoxia and stimulate wound healing. However, the actual role of HBOT in crush hand injury is still unknown. This study is to assess the efficacy of HBOT for crush hand patients, as well as the impact of HBOT initiation timing. Between 2018 and 2021, 72 patients with crush hand injury were retrospectively reviewed. The patients were divided into the HBOT and control group, and each group had 36 patients. The average session of HBOT was 18.2 (5-32 sessions) per patient, and no patient had a complication related to the treatment. The two groups had similar demographics, but HBOT group had larger injured area (73.6 +/- 51.0 vs. 48.2 +/- 45.5 cm2, p = 0.03). To better control the confounding factors, we performed the subgroup analysis with cut-off injured area of 50 cm2. In the patients with smaller injured area (<= 50 cm2), the HBOT group had shorter wound healing time (29.9 +/- 12.9 vs. 41.0 +/- 18.9 days, p = 0.03). The early HBOT group (first session <= 72 h post-operatively) had shorter hospital stay (8.1 +/- 6.4 vs. 15.5 +/- 11.4 days, p = 0.04), faster wound healing (28.7 +/- 17.8 vs. 41.1 +/- 18.1 days, p = 0.08) and less operations (1.54 +/- 0.78 vs. 2.41 +/- 1.62, p = 0.06) although the latter two didn't achieve statistical significance. HBOT is safe and effective in improving wound healing of hand crush injury. Early intervention of HBOT may be more beneficial. Future research is required to provide more evidence.
引用
收藏
页码:146 / 154
页数:9
相关论文
共 50 条
[41]   Hyperbaric Oxygen Therapy: A New Treatment for Chronic Pain? [J].
Sutherland, Ainsley M. ;
Clarke, Hance A. ;
Katz, Joel ;
Katznelson, Rita .
PAIN PRACTICE, 2016, 16 (05) :620-628
[42]   Revisiting the role of hyperbaric oxygen therapy in knee injuries: Potential benefits and mechanisms [J].
Leite, Chilan B. G. ;
Tavares, Luciana P. ;
Leite, Magno S. ;
Demange, Marco K. .
JOURNAL OF CELLULAR PHYSIOLOGY, 2023, 238 (03) :498-512
[43]   Hyperbaric Oxygen Therapy as a Renewed Hope for Ischemic Craniomaxillofacial Diseases [J].
He, Chan ;
Huang, Dou ;
Liu, Lei .
HEALTHCARE, 2025, 13 (02)
[44]   Hyperbaric Oxygen Therapy: An Effective Auxiliary Treatment Method for Large Jaw Cysts [J].
Huang, Dou ;
Li, Kaide ;
Zheng, Xiaohui ;
Liu, Lei .
INTERNATIONAL JOURNAL OF MEDICAL SCIENCES, 2021, 18 (16) :3692-3696
[45]   Hyperbaric Oxygen Therapy as Adjuvant Treatment for Hardware-Related Infections in Neuromodulation [J].
Bartek, Jiri, Jr. ;
Skyrman, Simon ;
Nekludov, Michael ;
Mathiesen, Tiit ;
Lind, Folke ;
Schechtmann, Gaston .
STEREOTACTIC AND FUNCTIONAL NEUROSURGERY, 2018, 96 (02) :100-107
[46]   Symmetrical peripheral gangrene and the use of systemic hyperbaric oxygen therapy [J].
Stewart, S. .
JOURNAL OF WOUND CARE, 2012, 21 (12) :615-619
[47]   The Use of Hyperbaric Oxygen Therapy in Head-and-Neck Conditions [J].
Nabil, Syed ;
Nordin, Rifqah ;
Hariri, Firdaus ;
Bustaman, Ahmad Fahmi Mohamad ;
Zainal, Sharifah Azlin Juliana Syed ;
Panicker, Divya ;
Nazimi, Abdul Jabar .
JOURNAL OF HEAD & NECK PHYSICIANS AND SURGEONS, 2020, 8 (01) :27-33
[48]   Hyperbaric oxygen in the treatment of perichondritis of the pinna [J].
Fernandes, Fernando Laffitte ;
Lavor, Milena ;
de Carvalho, Guilherme Machado ;
Guimaraes, Alexandre Caixeta .
DIVING AND HYPERBARIC MEDICINE, 2013, 43 (03) :166-167
[49]   The use of hyperbaric oxygen therapy for carbon monoxide poisoning in Europe [J].
Mutluoglu, Mesut ;
Metin, Suleyman ;
Arziman, Ibrahim ;
Uzun, Gunalp ;
Yildiz, Senol .
UNDERSEA AND HYPERBARIC MEDICINE, 2016, 43 (01) :49-56
[50]   Adjunctive Use of Hyperbaric Oxygen Therapy in Veterinary Dentistry and Oral Surgery: A Case Series [J].
Hunt, Melanie ;
Mendelsohn, Danielle ;
Queck, Katherine ;
Rice, Carlos .
JOURNAL OF VETERINARY DENTISTRY, 2024, 41 (05) :387-398